KAYLA MARGARET LODGE (NPI# 1174071625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174071625 |
| Entity Type | Individual |
| Full Name | KAYLA MARGARET LODGE |
| Other Name | KAYLA KELLY |
| Credential | PA-C |
| Practice Address |
2 Worlds Fair Dr Somerset NJ 08873-1369 |
| Practice Telephone | 7325370909 |
| Practice Fax Number | 7325649032 |
| Mailing Telephone | 7325370909 |
| Mailing Fax Number | 7325649032 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2020-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 25MP00409800 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00409800 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2 WORLDS FAIR DR |
| City | SOMERSET |
| State | NJ |
| Zip Code | 08873-1369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497257 | Charles J Gatt Jr. | Orthopaedic Surgery | 2 Worlds Fair Dr, Somerset, NJ 08873-1369 | 2005-06-14 |
| 1154920411 | Maggie M Turek | Physical Therapist | 2 Worlds Fair Dr, Somerset, NJ 08873-1369 | 2020-10-19 |
| 1902414550 | Amanda Emily Duimstra | Occupational Therapist | 2 Worlds Fair Dr, Somerset, NJ 08873-1369 | 2020-07-20 |
| 1366913832 | Jessica C Defrancesco | Physical Therapist | 2 Worlds Fair Dr, Somerset, NJ 08873-1369 | 2018-12-10 |
| 1720557432 | Orthopaedics New Jersey | Orthopaedic Surgery | 2 Worlds Fair Dr, Somerset, NJ 08873-1369 | 2018-11-26 |
| 1710472576 | Brittany A Marcsisin | Physical Therapist | 2 Worlds Fair Dr, Somerset, NJ 08873-1369 | 2018-06-25 |
| 1710402789 | Benjamin Forrest Glider | Physical Therapist | 2 Worlds Fair Dr, Somerset, NJ 08873-1369 | 2017-08-10 |
| 1255851911 | Kristen Ann Quinn | Occupational Therapist | 2 Worlds Fair Dr, Somerset, NJ 08873-1369 | 2017-06-23 |
| 1801342092 | Kevin D Campanale | Physical Therapist | 2 Worlds Fair Dr, Somerset, NJ 08873-1369 | 2016-08-29 |
| 1073969788 | Sara J O'dell | Physical Medicine & Rehabilitation | 2 Worlds Fair Dr, Somerset, NJ 08873-1369 | 2016-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204939 | Mark Anthony Diehl | Physical Medicine & Rehabilitation | 1553 State Highway 27, Suite 3100, Somerset, NJ 08873 | 2020-10-29 |
| 1447859483 | Somerset Senior Care, LLC | Assisted Living Facility | 1870 Easton Avenue, Somerset, NJ 08873 | 2020-10-21 |
| 1902415748 | Theranorth Services, LLC | Day Training, Developmentally Disabled Services | 1075 Easton Ave., Tower 2 #4, Somerset, NJ 08873 | 2020-07-28 |
| 1710461157 | Rachnaben Tripathi | Clinic/Center | New Life Adult Daycare, 727 Franklin Blvd., Suite 6, Somerset, NJ 08873 | 2018-09-21 |
| 1487149431 | Dungarvin New Jersey, LLC-rachel | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Rachel Court, Somerset, NJ 08873 | 2018-06-22 |
| 1881192714 | Maggy Lawrence | Nurse Practitioner | 1553 Nj-27, Somerset, NJ 08873 | 2018-01-25 |
| 1548779333 | Alternatives, Inc. | Community/Behavioral Health | 10 Vince Rd, Somerset, NJ 08873 | 2017-09-25 |
| 1659893014 | John Okoye | Case Manager/Care Coordinator | 873 Hamilton Street Unit A, Somerset, NJ 08873 | 2017-07-07 |
| 1245766252 | Salma Khan | Dentist | 1543 Nj 27, Somerset, NJ 08873 | 2017-05-11 |
| 1861927238 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1jfk Boulevard, Unit 1f, Somerset, NJ 08873 | 2017-04-24 |
| Find all providers in zip 08873 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215389739 | Don Gourdine | Physician Assistant | 3 Cumberland Ct, Somerset, NJ 08873-1456 | 2016-07-08 |
| 1801063698 | Lake Cumberland Surgical Consultants Psc | Physician Assistant | 350 Hospital Way Ste 270, Somerset, KY 42503-1875 | 2008-05-12 |
| 1588109755 | Chad A Workman | Physician Assistant | 126 E Church St, Suite 2100, Somerset, PA 15501-2271 | 2016-12-27 |
| 1811396195 | Lake Cumberland Physician Practices LLC | Physician Assistant | 350 Hospital Way, Suite 270, Somerset, KY 42503 | 2014-08-22 |
| 1477983534 | Rebecca Ritchey | Physician Assistant | 350 Hospital Way Ste 270, Somerset, KY 42503-1875 | 2013-11-26 |
| 1558794362 | Sarah E Godbey | Physician Assistant | 75 Hail Knob Rd, Somerset, KY 42503-3434 | 2013-08-15 |
| 1053550046 | Lake Cumberland Physician Practices, LLC | Physician Assistant | 120 Tradepark Dr, Suite B, Somerset, KY 42503-3454 | 2009-02-13 |
| 1760629943 | Alisha Cora Tarter Wilson | Physician Assistant | 30 Medpark Square, Suite 1, Somerset, KY 42503-3812 | 2009-01-09 |
| 1548318553 | Lake Cumberland Neurosurgical Clinic Psc | Physician Assistant | 75 Hail Knob Rd, Somerset, KY 42503-3434 | 2007-01-08 |
| 1013948579 | Christine M Hersh | Physician Assistant | 2 Worlds Fair Dr, Somerset, NJ 08873-1369 | 2006-07-05 |
| Find all providers in SOMERSET | ||||
Please comment or provide details below to improve the information on KAYLA MARGARET LODGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.