Individual provider Active NPI

Kierra Rose Oare, PA-C

  • Physician Assistant
  • Paramus, NJ
National Provider Identifier
1477414829
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00983500 Issued in NJ
Practice address
10 Forest Ave Ste 100
Paramus, NJ 07652-5238
Phone
(201) 996-1505
Fax
(201) 996-1605
NPI assigned
Nov 24, 2025
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00983500 NJ Primary

Addresses

Primary practice location

10 Forest Ave Ste 100
Paramus, NJ 07652-5238

Mailing address

10 Forest Ave Ste 100
Paramus, NJ 07652-5238
Phone (201) 996-1505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260303003136 NJ Practitioner - Physician Assistant 7719469469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12700 Park Central Dr
Suite 1050
Dallas, TX 75251-1500

130 W Pleasant Ave
Suite 304
Maywood, NJ 07607-1335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MP00983500NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Samadi, M.D. PC CurrentSince Jan 14, 2026 Accepting new patients

Locations

10 Forest Ave
Ste 100
Paramus, NJ 07652
Phone (201) 996-1505

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1477414829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FOREST AVE STE 100",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525238",
            "telephone_number": "201-996-1505",
            "fax_number": "201-996-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FOREST AVE STE 100",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525238",
            "telephone_number": "201-996-1505",
            "fax_number": "201-996-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OARE",
        "first_name": "KIERRA",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00983500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.