Cusack, Katlyn

Cusack, Katlyn is an sole proprietor health care provider with primary practice located at 703 Main St , Paterson NJ 07503-2621. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Dietary & Nutritional Service Providers / Dietitian, Registered. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Cusack, Katlyn can be contacted via phone (732) 539-3584.

Contact Information

Primary practice address
703 Main St Paterson NJ 07503-2621
Phone: (732) 539-3584
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 25MP00909300 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00909300 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 25MP00909300 New Jersey
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86103286 New Jersey

Profile Details

NPI number 1104489426
LBN Legal business name Cusack, Katlyn
Credentials MS, RDN, LDN, PA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2019
Last updated Jan 28th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104489426 NPPES
New Jersey Other 86103286 CDR

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