Active NPI
Sharon M Kaus, DO
- Pediatrics Physician
- Sicklerville, NJ
National Provider Identifier
1003083312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MB08379900
- Practice address
- 1303 Liberty PL
Sicklerville, NJ 08081-5710 - Phone
- (856) 885-4854
- Fax
- (856) 968-8414
- NPI assigned
- May 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MB08379900 | NJ | Primary |
Addresses
Primary practice location
1303 Liberty PL
Sicklerville, NJ 08081-5710
Mailing address
1303 Liberty PL
Sicklerville, NJ 08081-5710
Phone (856) 885-4854
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01004664100 | Other | NJ | AMERICHOICE |
| P3922107 | Other | NJ | OXFORD |
| 1879505/9110165 | Other | NJ | AETNA |
| 0167193 | Medicaid | NJ | |
| 3531619000 | Other | NJ | AMERIHEALTH/KEYSTONE/IBC |
| 60042703 | Other | NJ | HORIZON NJ HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinelands Pediatric Medicine LLC | Pediatrics | Past | Accepting new patients |
| Kennedy University Hospital Inc. | Past | Accepting new patients | |
| Childrens Hospital of Philadelphia | Past | Accepting new patients | |
| Virtua - West Jersey Health System, Inc. | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Sicklerville, NJ
- NPI 1790132140
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
-
- Children's Hospital
- Philadelphia, PA
- NPI 1215921457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1003083312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 LIBERTY PL",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080815710",
"telephone_number": "856-885-4854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 LIBERTY PL",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080815710",
"telephone_number": "856-885-4854",
"fax_number": "856-968-8414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUS",
"first_name": "SHARON",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-15",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MB08379900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "01004664100",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3922107",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1879505/9110165",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0167193",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/KEYSTONE/IBC",
"identifier": "3531619000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "60042703",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sicklerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.