Kathryn P Childs, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA07491800 Issued in NJ

Practice address

33 N Fullerton Ave
First Floor
Montclair, NJ 07042-3412

Phone

(973) 509-6039

Fax

(973) 509-6069

NPI assigned

May 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

State University of New York Downstate Medical Center, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22072/brand/1/csg/1/fhir/r4
• Direct secure messaging: kchilds@ophmontclair.intellechartdirect.net

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.

• Ophthalmology of Montclair Limited Liability Company

  • Ophthalmology Physician
  • Montclair, NJ
  • NPI 1912047713

  NJ, Ophthalmology

  Medicare reassignment NPD Authorized official
• Alessandra Bertolucci MD LLC

  • Ophthalmology Physician
  • Clifton, NJ
  • NPI 1568617330

  Ophthalmology

  NPD (past)
• Associated Eye Physicians, P.a.

  • Ophthalmology Physician
  • Clifton, NJ
  • NPI 1396787685

  Ophthalmology

  NPD (past)
• Manhattan Eye Ear and Throat Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1922169689
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1023067741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 N FULLERTON AVE",
            "address_2": "FIRST FLOOR",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423412",
            "telephone_number": "973-509-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N FULLERTON AVE",
            "address_2": "FIRST FLOOR",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423412",
            "telephone_number": "973-509-6039",
            "fax_number": "973-509-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "KATHRYN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07491800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Chen, M.D.
• Christine Chen
• Ling Chen, AGPCNP-BC
• Ryan Chesterman
• Christy Tzuying Chiang, L.AC
• Jieun Choi
• Jong Won Choi
• Lyndsey A Cholak, DC
• Chrill Visiting Nurse Association
• Nicole Antoinette Christian

• All providers in Montclair, NJ
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.