Individual provider Active NPI

Nicole Rose Garey, PA-C

  • Surgical Physician Assistant
  • Secaucus, NJ
National Provider Identifier
1871996116
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00436400 Issued in NJ
Practice address
55 Meadowlands Pkwy FL 2
Secaucus, NJ 07094-2977
Phone
(551) 999-7050
Fax
(201) 392-3571
NPI assigned
Oct 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 25MP00436400 NJ Primary
Surgical Physician Assistant 363AS0400X 018096 NY
Physician Assistant 363A00000X 25MP00436400 NJ

Addresses

Primary practice location

55 Meadowlands Pkwy FL 2
Secaucus, NJ 07094-2977

Mailing address

PO Box 825478
Philadelphia, PA 19182-5478
Phone (551) 999-7050

Other practice location 1

146 N State Rt 17 Ste 2
Hackensack, NJ 07601-1071
Phone (732) 906-9600

Other names 1

  • Nicole Rose Kubart Former name

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
I20200421000412 NJ Practitioner - Physician Assistant 6901120179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
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)

146 N State RT
17 Suite 2
Hackensack, NJ 07601-1071
Phone (732) 906-9600

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018096NYMDSpecialist
25MP00436400NJMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Brain and Spine LLC CurrentSince Oct 1, 2024 Accepting new patients
Premier Brain and Spine, LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

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

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

2501 Kuser Rd
Ste 3
Trenton, NJ 08691

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

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

Interoperability endpoints

  • Direct secure messaging: nicole.garey.1@21449.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1871996116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825478",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825478",
            "telephone_number": "551-999-7050",
            "fax_number": "201-392-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MEADOWLANDS PKWY FL 2",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942977",
            "telephone_number": "551-999-7050",
            "fax_number": "201-392-3571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 N State Rt 17 Ste 2",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011071",
            "country_code": "US",
            "telephone_number": "732-906-9600",
            "fax_number": "833-974-2196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAREY",
        "first_name": "NICOLE",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00436400",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "018096",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00436400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "KUBART",
            "middle_name": "ROSE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Secaucus, NJ

Sources for this page

Verify at the official NPI Registry.