Sean Thomas Kacerosky, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-14579 Issued in NC

Practice address

6750 Tryon Rd Ste 103
Cary, NC 27518-7056

Phone

(919) 378-2332

Fax

(919) 378-2333

NPI assigned

May 20, 2022

Last updated

Nov 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cary Endocrine and Diabetes Center PAGroup PAC ID 9931379708, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cary Endocrine & Diabetes Center PA

  • Specialist
  • Cary, NC
  • NPI 1417235805
  Medicare reassignment Care Compare group
• Orthonj LLC

  • Orthopaedic Surgery Physician
  • Somerset, NJ
  • NPI 1720557432
  Medicare reassignment NPD
• Endocrinology Consultants, P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Englewood, NJ
  • NPI 1275721342
  Medicare reassignment
• Orthonj LLC

  • Durable Medical Equipment & Medical Supplies
  • Galloway, NJ
  • NPI 1487448312
  NPD
• Hand Therapy Center, LLC

  • Rehabilitation Clinic/Center
  • Englewood, NJ
  • NPI 1417078916
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1417695495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 TRYON RD STE 103",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187056",
            "telephone_number": "919-378-2332",
            "fax_number": "919-378-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 TRYON RD STE 103",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187056",
            "telephone_number": "919-378-2332",
            "fax_number": "919-378-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACEROSKY",
        "first_name": "SEAN",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Junkins, RBT
• Annette Jurjevic
• K. Jasinski, D.M.D., P.C. (Inspire Dental - Cary)
• K. Jasinski, D.M.D., P.C. (Preston Dental Center)
• Linda Rose Ka, RBT
• Christopher Scott Kaer, PT, DPT, OCS
• Sarah Kafes, ITFS
• Dacia Kahan
• Theresa Ann Kallman, MD
• Sarah Ann Kaminski, PT

• Physician Assistant in Cary, NC
• Providers in Cary, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.