Kevin Cousins, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

25MP00305200 Issued in NJ

Practice address

50 Mount Prospect Ave
Suite 104
Clifton, NJ 07013-1900

Phone

(973) 928-1325

Fax

(973) 365-2371

NPI assigned

May 29, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eoh Acquisition Group, LLCGroup PAC ID 4082009717, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carewell Health Medical Center Hospital, East Orange, NJ, CCN 310083

Merit-based Incentive Payment System (MIPS)

Final score

67.34 of 100Reported as group

Quality

43.74

Improvement activities

40

Cost

66.14

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kcousins57515@epicdirect.rwjbh.org
• FHIR API: https://api.platform.athenahealth.com/14248/brand/1/csg/1/fhir/r4
• Direct secure messaging: kevin.cousins.1@32967.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.

• Eoh Acquisition Group, LLC

  • General Practice Physician
  • East Orange, NJ
  • NPI 1578922258
  Medicare reassignment Care Compare group
• Barnabas Health Medical Group PC

  • Specialist
  • Elizabeth, NJ
  • NPI 1841557246
  Medicare reassignment NPD
• Igea Brain & Spine,PA

  • Neurological Surgery Physician
  • Union, NJ
  • NPI 1710103288
  Medicare reassignment
• Barnabas Health Medical Group PC

  • Durable Medical Equipment & Medical Supplies
  • Hackensack, NJ
  • NPI 1316772668
  NPD
• Life Medical Group, PC

  • Multi-Specialty Clinic/Center
  • East Hanover, NJ
  • NPI 1134939333
  NPD (past)
• Life Mobile Imaging, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • East Hanover, NJ
  • NPI 1508677519
  NPD (past)

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

• Eoh Acquisition Group, LLC

  • General Acute Care Hospital
  • East Orange, NJ
  • NPI 1013386143
  Care Compare affiliation

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1922445162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MOUNT PROSPECT AVE",
            "address_2": "SUITE 104",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131900",
            "telephone_number": "973-928-1325",
            "fax_number": "973-365-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MOUNT PROSPECT AVE",
            "address_2": "SUITE 104",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131900",
            "telephone_number": "973-928-1325",
            "fax_number": "973-365-2371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 S Orange Ave Ste 235",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070394915",
            "country_code": "US",
            "telephone_number": "973-607-4911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUSINS",
        "first_name": "KEVIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00305200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Surgical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.