Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kyle Mcmahon , PA

Physician Assistant β€’ Hackensack, NJ

Active NPI 1942653944 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

30 Prospect Ave
Hackensack, NJ 076011915

Call 5519962000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

30 Prospect Ave

Hackensack, NJ 076011915

Telephone 5519962000
Fax 5519962000
Organization at the Same NPPES Address or Phone
Hackensack University Medical Center Facility NPI 1609862036

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Panama City, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Hackensack Meridian Health Medical Group - Specialty Care Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2016

30-day fills

209 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,022 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $280.88 across 2 records.

By nature of payment

  • Food and Beverage: $280.88 across 2 records.

Reporting-company totals

  • ABIOMED: $280.88 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kyle Mcmahon has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kyle Mcmahon as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Hackensack and New Jersey

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Hackensack, NJ (2024, 32 clinicians with data). Median for this group: 109. Middle half: 29 to 415.

Close to the middle for clinicians listed under Physician Assistant in New Jersey (2024, 1,596 clinicians with data). Median for this group: 171. Middle half: 52 to 486.

Part D drug cost

A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Hackensack, NJ (2024, 32 clinicians with data). Median for this group: $2,223. Middle half: $383 to $16,852.

A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in New Jersey (2024, 1,596 clinicians with data). Median for this group: $2,022. Middle half: $389 to $23,881.

106 active clinicians are listed under Physician Assistant with a practice address in Hackensack, NJ (3,397 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Hackensack

6.6% of these 106 clinicians have the CMS telehealth indicator.

59.4% of these 106 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $280.88.

Manufacturer Payment Nature Product Type Amount ($)
ABIOMED
Food and Beverage
In-kind items and services
β€” General $143.55
ABIOMED
Food and Beverage
In-kind items and services
β€” General $137.33

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Furosemide Furosemide 30 444 $46.22 30
Potassium Chloride Potassium Chloride 30 453 $159.77 30
Metoprolol Tartrate Metoprolol Tartrate 24 1,635 $173.25 22
Oxycodone Hcl Oxycodone Hcl 22 126 $56.07 22
Mupirocin Mupirocin 20 379 $183.55 20
Amiodarone Hcl Amiodarone Hcl 17 531 $246.84 17
Tramadol Hcl Tramadol Hcl 11 66 $20.22 11
Atorvastatin Calcium Atorvastatin Calcium 11 630 $135.71 β€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NJ 25MP00445900

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA9119808

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20220316000007

Enrollment State Jurisdiction

CO

PECOS Control ID

9931487659

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Hackensack Meridian Health Medical Group - Specialty Care Pc

30 Prospect Ave, Hackensack, NJ 076011915

Phone: 5519961333

Secondary Practice Locations

801 E 6th St Ste 307

Panama City, FL 324013663

Phone: 8508043823

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
NPI 1083175897

Doctor of Medicine (M.D.)

Dr. Daniel Bautista , MD

Emergency Medicine

NPI 1053849620

Doctor of Medicine (M.D.)

Jose Deschamps

Emergency Medicine

NPI 1003344920
Lisa Ha

Nurse Practitioner - Acute Care

NPI 1043603459
Younglak Hong

Family Medicine - Hospice and Palliative Medicine

NPI 1063152536
Dr. John Kane , MD

Emergency Medicine

NPI 1093343410

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location November 18, 2025

Registered at 30 PROSPECT AVE, HACKENSACK, NJ 076011915 (Tel: 5519962000)

πŸ‘€
Provider Name / Credentials Updated November 18, 2025

Recorded as KYLE MCMAHON, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2025

Physician Assistant (license number reported to NPPES: NJ 25MP00445900)

πŸ“
Updated Practice Location July 15, 2025

Registered at 801 E 6TH ST STE 307, PANAMA CITY, FL 324013663 (Tel: 8508043823)

πŸ“
Updated Business Mailing Address July 15, 2025

Registered at 4205 BELFORT RD STE 4015, JACKSONVILLE, FL 322163623 (Tel: 9044506063)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2025

Physician Assistant (license number reported to NPPES: FL PA9119808)

βœ…
NPI Profile Active October 12, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 12, 2016

Registered at 34 MAPLE ST, NORWALK, CT 068503815 (Tel: 2038522188)

πŸ“
Business Mailing Address (Initial Record) October 12, 2016

Registered at 24 STEVENS ST, NORWALK, CT 068503852 (Tel: 2038522189)

πŸ‘€
Provider Name / Credentials (Initial Record) October 12, 2016

Recorded as KYLE MCMAHON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2016

Physician Assistant

🟒
Initial NPI Registration & Enumeration July 14, 2016

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1942653944
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2016
Last Update: November 18, 2025
Sole Proprietor: No

Other Physician Assistants in Hackensack

All Physician Assistants in Hackensack

Mailing Address

4205 Belfort Rd Ste 4015

Jacksonville, FL 322163623

Phone: 9044506063

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.