Individual provider Active NPI

Kyle James Viola, PA

  • Physician Assistant
  • Hackensack, NJ
National Provider Identifier
1689102014
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00451300 Issued in NJ
Practice address
146 N State RT 17 Ste 2
Hackensack, NJ 07601-1071
Phone
(551) 999-7050
Fax
(833) 428-0623
NPI assigned
May 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 25MP00451300 NJ Primary

Addresses

Primary practice location

146 N State RT 17 Ste 2
Hackensack, NJ 07601-1071

Mailing address

90 Matawan Rd Ste 302
Matawan, NJ 07747-2653
Phone (732) 441-7177

Other practice location 1

714 10th St.
Secaucus, NJ 07660
Phone (201) 865-2050

Other practice location 2

3540 John F Kennedy Blvd
Jersey City, NJ 07307-3450
Phone (551) 999-7050

Other practice location 3

855 Valley Rd Ste 200
Clifton, NJ 07013-2441
Phone (551) 999-7050

Other practice location 4

11 Ridge Rd
North Arlington, NJ 07031-6306
Phone (551) 999-7050

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Kyle.Viola.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC
Direct Messaging Address Kyle.Viola.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC
Direct Messaging Address Kyle.Viola.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC
Direct Messaging Address Kyle.Viola.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC

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
I20171216000008 NJ Practitioner - Physician Assistant 8426316621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians

Practice addresses (Care Compare)

11 Ridge Rd
North Arlington, NJ 07031-6306
Phone (551) 999-7050

146 N State RT
Hackensack, NJ 07601-1071
Phone (732) 906-9600

19 E 27TH St
Bayonne, NJ 07002-4608
Phone (551) 999-7050

2 University PLZ
Suite 500
Hackensack, NJ 07601-6228
Phone (551) 340-8400

2500 Morris Ave
Suite 220
Union, NJ 07083-5675
Phone (732) 906-9600

29 E 29TH St
Bayonne, NJ 07002-4654
Phone (551) 999-7050

3540 John F Kennedy Blvd
Suite 303
Jersey City, NJ 07307-3450
Phone (732) 906-9600

55 Meadowlands Pkwy
Suite 2
Secaucus, NJ 07094-2977
Phone (732) 906-9600

80 E State RT
4 Suite 100
Paramus, NJ 07652-2647
Phone (551) 999-7050

855 Valley Rd
Suite 200
Clifton, NJ 07013-2441
Phone (551) 999-7050

922 Main St
Suite 201
Paterson, NJ 07503-2602
Phone (732) 906-9600

Hospital & facility affiliations

  • Hudson Regional Hospital Hospital, Secaucus, NJ, CCN 310118
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
76.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Brain and Spine LLC Multi-Specialty CurrentSince Jul 1, 2025 Accepting new patients
Optum Medical Care of New Jersey PC Multi-Specialty CurrentSince Nov 15, 2017 Accepting new patients
Premier Brain and Spine, LLC Multi-Specialty CurrentSince Jul 1, 2025 Accepting new patients
Hudson Orthopedics Pain and Spine Multi-Specialty Past Accepting new patients

Locations

19 E 27th St
Bayonne, NJ 07002
Phone (201) 339-1414

855 Valley Rd
Ste 200
Clifton, NJ 07013
Phone (551) 455-0532

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

146 N State Rt 17
Ste 2
Hackensack, NJ 07601
Phone (201) 402-7802

2 University Plz
Ste 500
Hackensack, NJ 07601
Phone (551) 340-8300

3540 John F Kennedy Blvd
Jersey City, NJ 07307
Phone (201) 333-2221

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

11 Ridge Rd
North Arlington, NJ 07031
Phone (201) 998-1800

714 10th St
Secaucus, NJ 07094
Phone (201) 863-3346

2501 Kuser Rd
Ste 3
Trenton, NJ 08691

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

Interoperability endpoints

  • Direct secure messaging: kyle.viola.1@21449.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1689102014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 N STATE RT 17 STE 2",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011071",
            "telephone_number": "551-999-7050",
            "fax_number": "833-428-0623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 10th St.",
            "address_purpose": "LOCATION",
            "city": "Secaucus",
            "state": "NJ",
            "postal_code": "07660",
            "country_code": "US",
            "telephone_number": "201-865-2050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3540 John F Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073073450",
            "country_code": "US",
            "telephone_number": "551-999-7050",
            "fax_number": "833-428-0623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "855 Valley Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070132441",
            "country_code": "US",
            "telephone_number": "551-999-7050",
            "fax_number": "833-428-0623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "North Arlington",
            "state": "NJ",
            "postal_code": "070316306",
            "country_code": "US",
            "telephone_number": "551-999-7050",
            "fax_number": "833-428-0623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIOLA",
        "first_name": "KYLE",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00451300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kyle.Viola.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "146 N State Rt 17 Ste 2",
            "city": "Hackensack",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076011071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kyle.Viola.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "855 Valley Rd Ste 200",
            "city": "Clifton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070132441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kyle.Viola.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "3540 John F Kennedy Blvd",
            "city": "Jersey City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "073073450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kyle.Viola.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "11 Ridge Rd",
            "city": "North Arlington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070316306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.