Emmanuel Kissi, PA is a medicare enrolled "General Practice" physician in Scotch Plains, New Jersey. He graduated from medical school in 2007 and has 19 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice North Shore-lij Medical Pc and his current practice location is
1881 Raritan Rd, Scotch Plains, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(908) 494-1175.
Emmanuel Kissi is licensed to practice in New York (license number 011915-1) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568658136.
Physician's Profile
| Full Name | Emmanuel Kissi |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 19 Years |
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| Location | 1881 Raritan Rd, Scotch Plains, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Emmanuel Kissi graduated from medical school in 2007
NPI Data:
- NPI Number: 1568658136
- Provider Enumeration Date: 09/18/2007
- Last Update Date: 04/17/2026
Medicare PECOS Information:
- PECOS PAC ID: 9830500347
- Enrollment ID: I20201203003113
Medical Identifiers
Medical identifiers for Emmanuel Kissi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568658136 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 011915-1 (New York) | Primary |
| 363AM0700X | Physician Assistant - Medical | 25MP00192500 (New Jersey) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Shore-lij Medical Pc | 3375701568 | 6327 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emmanuel Kissi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Emmanuel Kissi, PA
328 W Saint Georges Ave,
Linden, NJ 07036-5638
Ph: (908) 925-7519 | Emmanuel Kissi, PA
1881 Raritan Rd,
Scotch Plains, NJ 07076-2929
Ph: (908) 494-1175 |
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