Emmanuel Kissi, PA
NPI 1568658136ActiveIndividual· General Practice· Scotch Plains, NJ
General Practice (PA) with North Shore-Lij Medical PC, practicing in Scotch Plains, New Jersey. Enrolled in Medicare as practitioner - physician assistant and practitioner - physician assistant.
Overview
| NPI | 1568658136 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Sep 18, 2007 |
| Last updated in NPPES | Apr 17, 2026 |
| Certified by provider | Apr 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 011915-1 | NY |
| Physician Assistant, Medical | 363AM0700X | 25MP00192500 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NJ); Practitioner - Physician Assistant (NY) |
|---|
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- North Shore-Lij Medical PCStaten Island, NY · 6,440 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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