NPIMap

Organization Active NPI

KND Development 59, LLC

  • Hospitalist Physician
  • Dover, NJ
National Provider Identifier
1114256989
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
KND DEVELOPMENT 59, LLC
Practice address
400 W Blackwell St
Dover, NJ 07801-2525
Phone
(973) 537-3818
Fax
(502) 596-4150
NPI assigned
Dec 8, 2009
Last updated
Mar 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
KINDRED HEALTHCARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Linda L Fisher
Title
DVP Revenue Cycle
Phone
(502) 596-7358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X NU Primary

Addresses

Primary practice location

400 W Blackwell St
Dover, NJ 07801-2525

Mailing address

680 S 4TH St
Louisville, KY 40202-2407
Phone (502) 596-7358

Other practice location 1

344 Abbey Rd
Mount Tremper, NY 12457-5004
Phone (502) 596-7358

Other practice location 2

122 Yoakum Ave
Farmingdale, NY 11735-5033
Phone (502) 596-7358

Other identifiers 1

IdentifierTypeStateIssuer
569251OtherNJMEDICARE

Other names 1

  • 4501 KH NEW JERSEY-MORRIS COUNTY Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170420000526 NJ Part B Supplier - Clinic/Group Practice 3678602802 Receives reassigned benefits from 10 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dover, NJ; Passaic, NJ; Rahway, NJ
O20251030000098 NY Part B Supplier - Clinic/Group Practice 3678602802 Receives reassigned benefits from 3 practitioners
Practice locations: Farmingdale, NY; Mount Tremper, NY; Sag Harbor, NY

Other NPIs with the same Medicare PAC ID 21

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 21

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Vijayasree Paruchuri MD78 organizations share this tax ID, including this one
Part of
Presence Covenant Medical Center

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

350 Boulevard
Fl 5
Passaic, NJ 07055
Phone (201) 293-2541

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1114256989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-7358",
            "fax_number": "833-501-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078012525",
            "telephone_number": "973-537-3818",
            "fax_number": "502-596-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "344 Abbey Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Tremper",
            "state": "NY",
            "postal_code": "124575004",
            "country_code": "US",
            "telephone_number": "502-596-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 Yoakum Ave",
            "address_purpose": "LOCATION",
            "city": "Farmingdale",
            "state": "NY",
            "postal_code": "117355033",
            "country_code": "US",
            "telephone_number": "502-596-7358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KND DEVELOPMENT 59, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINDRED HEALTHCARE, INC",
        "enumeration_date": "2009-12-08",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DVP REVENUE CYCLE",
        "authorized_official_telephone_number": "502-596-7358"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "569251",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4501 KH NEW JERSEY-MORRIS COUNTY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "4501 KH NEW JERSEY-MORRIS COUNTY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.