Michelle Hathaway, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00320600 Issued in NJ

Practice address

100 Kings Way W Unit D1
Sewell, NJ 08080-2235

Phone

(856) 352-6572

Fax

(856) 352-6710

NPI assigned

Oct 2, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medcorps Asthma and Pulmonary Specialists LLCGroup PAC ID 3375863764, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.07 of 100Reported as group

Quality

81.62

Promoting interoperability

89

Improvement activities

40

Cost

74.45

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: michelle.kus.1@11515.direct.athenahealth.com

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

• Medcorps Asthma and Pulmonary Specialists LLC

  • Internal Medicine Physician
  • Linwood, NJ
  • NPI 1376921460
  Medicare reassignment Care Compare group
• Ross Medical Associates PSC

  • Family Medicine Physician
  • Maysville, KY
  • NPI 1245399559
  NPD (past)

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1558798702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 NEW RD STE 201",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211281",
            "telephone_number": "609-788-8593",
            "fax_number": "609-904-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KINGS WAY W UNIT D1",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802235",
            "telephone_number": "856-352-6572",
            "fax_number": "856-352-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "TC827",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00320600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harmony Healthcare for Women Limited Liability Company
• Neil S Harrington Jr., LPC
• Amber Shereece Hart, FNP-BC
• Joel Andrew Hasbun, D.M.D.
• Nicole Haslett
• Crystal Hatton, ATC
• Cynthia Hawk
• Jennifer Anne Hayes, MPT
• Health First Chiropractic Center, LLC
• Health Services of FCCC

• Medical Physician Assistant in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.