NPIMap

Individual provider Active NPI

Richard A Kader, D.O.

  • Family Medicine Physician
  • Linwood, NJ
National Provider Identifier
1003983594
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB05376200 Issued in NJ
Practice address
1201 New Rd Ste 150a
Linwood, NJ 08221-1100
Phone
(609) 788-3338
Fax
(609) 788-3348
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB05376200 NJ Primary

Addresses

Primary practice location

1201 New Rd Ste 150a
Linwood, NJ 08221-1100

Mailing address

301 Lippincott Dr Ste 120
Marlton, NJ 08053-4197
Phone (856) 355-0335

Other identifiers 1

IdentifierTypeStateIssuer
4621905MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fkaderdo13609@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100507000360 NJ Practitioner - Family Practice 7012045362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1201 New Rd
Linwood, NJ 08221-1100

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Egg Harbor Township, NJ, CCN 317066
  • Patient Care Home health agency, Egg Harbor Township, NJ, CCN 317072
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Shore Medical Center Hospital, Somers Point, NJ, CCN 310047
  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB05376200NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Regional Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: fkaderdo13609@directvirtua.org

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1003983594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 120",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0335",
            "fax_number": "856-355-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NEW RD STE 150A",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211100",
            "telephone_number": "609-788-3338",
            "fax_number": "609-788-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADER",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB05376200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4621905",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fkaderdo13609@directvirtua.org",
            "affiliation": "N",
            "address_1": "1201 New Rd Ste 150A",
            "city": "Linwood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082211100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.