MR. KEVIN SHAILESH AVICHAL PA-C NPI 1174040539

NPI Information

  • NPI: 1174040539
  • Provider Name: MR. KEVIN SHAILESH AVICHAL, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2317 CENTER ISLAND
    ROUTE 22
    UNION, NJ
    ZIP 07083
  • Phone: (201) 354-1951

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NPI Details

MR. Kevin Shailesh Avichal, PA-C is a medical physician assistant in Union, NJ with 8 years of experience. MR. Kevin Shailesh Avichal, PA-C NPI is 1174040539. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2317 CENTER ISLAND
ROUTE 22
UNION, NJ
ZIP 07083
Phone: (201) 354-1951
Fax: (201) 354-1952

The NPI 1174040539 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)

The enumeration date for this NPI number is 8/26/2017 and was last updated on 5/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant25MP00445700NEW JERSEYNo
2207X00000XOrthopaedic Surgery25MP00445700NEW JERSEYNo
3363AM0700XPhysician AssistantMedical25MP00445700NEW JERSEYYes
4363A00000XPhysician Assistant021217NEW YORKNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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