Individual provider Active NPI

Kathryn Anne Feldenzer, NP-C

  • Nurse Practitioner
  • Jackson, NJ
National Provider Identifier
1124571849
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00671500 Issued in NJ
Practice address
706 Bennetts Mills Rd
Jackson, NJ 08527-3850
Phone
(732) 724-2500
Fax
(732) 724-2600
NPI assigned
Jul 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00671500 NJ Primary

Addresses

Primary practice location

706 Bennetts Mills Rd
Jackson, NJ 08527-3850

Mailing address

706 Bennetts Mills Rd
Jackson, NJ 08527-3850
Phone (732) 724-2500

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170418002657 NJ Practitioner - Nurse Practitioner 2163708587 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00671500NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC CurrentSince Aug 1, 2023 Accepting new patients
Consultants in Kidney Diseases PA Nephrology CurrentSince Feb 11, 2017 Accepting new patients
Lourdes Medical Associates, PA PastSince Mar 28, 2021 Accepting new patients
Lifecare Physicians, P.C Past Accepting new patients
Atlantic Coast Gastroenterology Associates PastSince Aug 1, 2023 Accepting new patients

Locations

27 S Cooks Bridge Rd
Ste 2-17
Jackson, NJ 08527
Phone (732) 721-7227

2333 Whthrs Mrcvl Rd
Ste 4
Trenton, NJ 08619

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1124571849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 BENNETTS MILLS RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273850",
            "telephone_number": "732-724-2500",
            "fax_number": "732-724-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 BENNETTS MILLS RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273850",
            "telephone_number": "732-724-2500",
            "fax_number": "732-724-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDENZER",
        "first_name": "KATHRYN",
        "middle_name": "ANNE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00671500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

Verify at the official NPI Registry.