Individual provider Active NPI

Erin Doherty Welsh, PA-C

  • Medical Physician Assistant
  • Hackensack, NJ
National Provider Identifier
1730065509
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00951500 Issued in NJ
Practice address
20 Prospect Ave Ste 907
Hackensack, NJ 07601-1989
Phone
(201) 342-2550
Fax
(201) 342-7171
NPI assigned
Aug 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00951500 NJ Primary

Addresses

Primary practice location

20 Prospect Ave Ste 907
Hackensack, NJ 07601-1989

Mailing address

301 Kettle Creek Rd
Toms River, NJ 08753-1947
Phone (814) 404-8729

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
I20251126000861 NJ Practitioner - Physician Assistant 8729570783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Brain and Spine PCGroup PAC ID 8123013802, 41 clinicians

Practice addresses (Care Compare)

32 Philips Pkwy
Montvale, NJ 07645-1811
Phone (201) 342-2550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00951500NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Brain & Spine PC CurrentSince Nov 1, 2025 Accepting new patients

Locations

20 Prospect Ave
Ste 907
Hackensack, NJ 07601
Phone (201) 996-2750

32 Philips Pkwy
Montvale, NJ 07645
Phone (201) 494-4479

680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869

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 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": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1730065509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 KETTLE CREEK RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087531947",
            "telephone_number": "814-404-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE STE 907",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011989",
            "telephone_number": "201-342-2550",
            "fax_number": "201-342-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSH",
        "first_name": "ERIN",
        "middle_name": "DOHERTY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00951500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.