Mr. Kevin Shailesh Avichal, PA-C
Mr. Kevin Shailesh Avichal, PA-C is a Physician Assistant in Union, New Jersey. Qualified in 2017, 9 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.
- Years since qualifying
- 9
- Licensed in
- NJ, NY
- In the registry since
- 2017
- Specialties on file
- 4
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
2317 Center Island Route 22Union, NJ 07083
Phone: (201) 354-1951
Fax: (201) 354-1952
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 25MP00445700 (NJ) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 25MP00445700 (NJ) |
| Orthopaedic Surgery Physician | Taxonomy 207X00000X · Licence 25MP00445700 (NJ) |
| Physician Assistant | Taxonomy 363A00000X · Licence 021217 (NY) |
Record details
| NPI number | 1174040539 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 26, 2017 |
| Last updated in NPPES | May 2, 2024 |
| Certification date | April 24, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Summit Medical Group Pa — 1205 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 238 |
|---|---|
| Services billed | 463 |
| Average patient age | 74 |
Payments from drug and device companies, 2025
| Food and Beverage | $25 |
|---|
Colleagues at Summit Medical Group PA
- Mayur Chalia, MD Neurology Physician · Suffern, NY
- Dr. Peter M Colucio, MD Internal Medicine Physician · Berkeley Heights, NJ
- Sascha Gabrielle Dougan, NP Family Nurse Practitioner · Morristown, NJ
- Emily Austin Haring, PA-C Physician Assistant · New Providence, NJ
- Jennifer L. Kusant, PA Physician Assistant · Flemington, NJ
- MS. Meagan Lugo, PA-C Physician Assistant · Berkeley Heights, NJ
- Susan Elizabeth Neggia, PA-C Physician Assistant · Hackensack, NJ
- Richard Todd Paris, MD Family Medicine Physician · Berkeley Hts
- Mrs. Heather Marie Robbie, APN-C Nurse Practitioner · Berkeley Heights, NJ
- Dr. Daniel Sansobrino, MD Obstetrics & Gynecology Physician · West Orange, NJ
- Dr. Alen R Tar, DPM Foot & Ankle Surgery Podiatrist · Piscataway, NJ
- Marykate Vaughn, MA-CCC-A Audiologist · Florham Park, NJ
Other providers in Union
-
Maryjo Agosta
1000 Galloping Hill Rd, Union, NJ 07083-7989 · (908) 522-6300
-
Eyriney Azer, PA
1000 Galloping Hill Rd Ste 108, Union, NJ 07083-7989 · (908) 522-3730
-
Amanda Bergner
1000 Morris Ave, Union, NJ 07083-7133 · (908) 737-7100
-
Isabelle Santos Bisda
450 Bailey Ave, Union, NJ 07083-8824 · (908) 967-3633
-
Andriana Chin, PA-C
1000 Morris Ave, Union, NJ 07083-7133 · (732) 614-7130