Provider Demographics
NPI:1689102014
Name:VIOLA, KYLE JAMES (PA)
Entity type:Individual
Prefix:MR
First Name:KYLE
Middle Name:JAMES
Last Name:VIOLA
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:90 MATAWAN RD STE 302
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-2653
Mailing Address - Country:US
Mailing Address - Phone:732-441-7177
Mailing Address - Fax:732-441-7165
Practice Address - Street 1:146 N STATE RT 17 STE 2
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1071
Practice Address - Country:US
Practice Address - Phone:551-999-7050
Practice Address - Fax:833-428-0623
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-30
Last Update Date:2025-06-23
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00451300363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty