Individual provider Active NPI

Jonathan Tam, PA-C

  • Physician Assistant
  • Hillsborough, NJ
National Provider Identifier
1992433494
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00725100 Issued in NJ
Practice address
1C New Amwell Rd
Hillsborough, NJ 08844-5006
Phone
(908) 874-5035
Fax
(908) 874-3288
NPI assigned
Aug 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00725100 NJ Primary

Addresses

Primary practice location

1C New Amwell Rd
Hillsborough, NJ 08844-5006

Mailing address

575 Route 28 Ste 2205
Raritan, NJ 08869-1363
Phone (908) 725-5530

Other practice location 1

575 Route 28 Ste 2100
Raritan, NJ 08869-1363
Phone (908) 725-1802

Other practice location 2

2 Worlds Fair Dr Ste 302
Somerset, NJ 08873-1372
Phone (732) 271-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00725100NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Pediatric Group, LLC PastSince Jun 6, 2021 Accepting new patients
Kidney Disease and Dialysis Associates, PA Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1992433494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ROUTE 28 STE 2205",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691363",
            "telephone_number": "908-725-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1C NEW AMWELL RD",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088445006",
            "telephone_number": "908-874-5035",
            "fax_number": "908-874-3288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 Route 28 Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Raritan",
            "state": "NJ",
            "postal_code": "088691363",
            "country_code": "US",
            "telephone_number": "908-725-1802",
            "fax_number": "908-203-8825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Worlds Fair Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "NJ",
            "postal_code": "088731372",
            "country_code": "US",
            "telephone_number": "732-271-7788",
            "fax_number": "732-271-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAM",
        "first_name": "JONATHAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00725100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.