Individual provider Active NPI

Karen Dougherty, NP

  • Family Nurse Practitioner
  • Mount Holly, NJ
National Provider Identifier
1124593868
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00865400 Issued in NJ
Practice address
508 High St
Mount Holly, NJ 08060-1052
Phone
(609) 261-8963
NPI assigned
Oct 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2025

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26802 SC
Family Medicine Physician 207Q00000X SD-CNP002566 SD
Family Medicine Physician 207Q00000X 14147-33 WI
Family Medicine Physician 207Q00000X 5017682 NC
Family Medicine Physician 207Q00000X 10956 CT
Family Medicine Physician 207Q00000X F35136-01 NY
Family Medicine Physician 207Q00000X 114079 WV
Family Medicine Physician 207Q00000X GAA-NP000985 GA
Family Nurse Practitioner 363LF0000X 26NJ00865400 NJ Primary
Family Medicine Physician 207Q00000X R53236 ND
Family Medicine Physician 207Q00000X SP025833 PA
Family Medicine Physician 207Q00000X 0024184826 VA

Addresses

Primary practice location

508 High St
Mount Holly, NJ 08060-1052

Mailing address

711 W Spruce Ave Apt B
Wildwood, NJ 08260-6017
Phone (856) 905-4616

Other practice location 1

711 W Spruce Ave
Wildwood, NJ 08260-6017
Phone (856) 600-1768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, VA, GA, CT, SC, NY, NC, WI8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20181213000163 NJ Practitioner - Nurse Practitioner 7719222140 Reassigns benefits to 1 organization
I20221021002595 VA Practitioner - Nurse Practitioner 7719222140
I20221108000560 GA Practitioner - Nurse Practitioner 7719222140
I20221110002712 CT Practitioner - Nurse Practitioner 7719222140
I20230208002790 SC Practitioner - Nurse Practitioner 7719222140
I20230331002090 NY Practitioner - Nurse Practitioner 7719222140 Reassigns benefits to 1 organization
I20230425000097 NC Practitioner - Nurse Practitioner 7719222140
I20230913001979 WI Practitioner - Nurse Practitioner 7719222140

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 CVS Dr
Woonsocket, RI 02895-6146

31 N Maple Ave
Apt. 226
Marlton, NJ 08053-1725

Minuteclinic Payer Enrollment
Woonsocket, RI 02895-0784

PO
Woonsocket, RI 02895-0784

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10956CTMDClinical Social Worker
GAA-NP000985GAMDFamily Medicine Physician
5017682NCMDFamily Medicine Physician
R53236NDMDFamily Medicine Physician
F35136-01NYMDFamily Medicine Physician
SP025833PAMDFamily Medicine Physician
SD-CNP002566SDMDFamily Medicine Physician
0024184826VAMDFamily Medicine Physician
14147-33WIMDFamily Medicine Physician
114079WVMDFamily Medicine Physician
26NJ00865400NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of New Jersey LLC Family Medicine CurrentSince Nov 16, 2018 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Jan 18, 2023 Accepting new patients

Locations

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

508 High St
Mount Holly, NJ 08060
Phone (609) 261-8383

3101 Ditmars Blvd
Astoria, NY 11105
Phone (718) 545-0128

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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.

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1124593868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W SPRUCE AVE APT B",
            "city": "WILDWOOD",
            "state": "NJ",
            "postal_code": "082606017",
            "telephone_number": "856-905-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 HIGH ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601052",
            "telephone_number": "609-261-8963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 W Spruce Ave",
            "address_purpose": "LOCATION",
            "city": "Wildwood",
            "state": "NJ",
            "postal_code": "082606017",
            "country_code": "US",
            "telephone_number": "856-600-1768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "26802",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "SD-CNP002566",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "14147-33",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "5017682",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "10956",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "F35136-01",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "114079",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "GAA-NP000985",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00865400",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "R53236",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP025833",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024184826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.