Physician Assistant, Surgical
KAITLYN BOOTH PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1700180106 · enumerated 2010-12-29 · record updated 2022-08-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 560 1ST AVE, NEW YORK, NY, 10016-6402 (212) 263-0250 Google Maps Apple Maps OpenStreetMap
- Mailing address 111 GALWAY PL, TEANECK, NJ, 07666-3640 (201) 833-9500 Fax (201) 862-0095 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · Primary · License 25MP00245300 NJ
In this directory
Locations and evidence
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Practice location
NEW YORK, NY, 100166402
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.