Individual provider Active NPI

Linda Renee Kawam, D.O.

  • Anesthesiology Physician
  • New York Mills, NY
National Provider Identifier
1134353675
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MB08941600 Issued in NJ
Practice address
29 Maple St
New York Mills, NY 13417-1235
Phone
(315) 269-8758
NPI assigned
May 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 260336 NY
Anesthesiology Physician 207L00000X 25MB08941600 NJ Primary

Addresses

Primary practice location

29 Maple St
New York Mills, NY 13417-1235

Mailing address

29 Maple St
New York Mills, NY 13417-1235
Phone (315) 269-8758

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110701000137 NJ Practitioner - Anesthesiology 1052599586 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ambulatory Anesthesia AssociatesGroup PAC ID 3678858537, 2 clinicians

Practice addresses (Care Compare)

61 Main St
Suite D
West Orange, NJ 07052-5353
Phone (973) 324-2280

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ny NJ Anesthesia LLC Anesthesiology CurrentSince Jul 23, 2019 Accepting new patients
New Jersey Healthcare Specialists PC Anesthesiology CurrentSince Apr 16, 2020 Accepting new patients
Ambulatory Anesthesia Associates Anesthesiology CurrentSince Aug 12, 2017 Accepting new patients

Locations

123 Columbia Tpke
Ste 102B
Florham Park, NJ 07932
Phone (800) 426-1699

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

312 Courtyard Dr
Hillsborough, NJ 08844
Phone (908) 722-9075

187 Millburn Ave
Millburn, NJ 07041
Phone (973) 467-1466

187 Millburn Ave
Ste 102
Millburn, NJ 07041
Phone (973) 671-0555

210 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 330-9090

71 2nd St
South Orange, NJ 07079
Phone (973) 763-2203

2401 E Evesham Rd
Ste F
Voorhees, NJ 08043
Phone (856) 673-1600

61 Main St
Ste D
West Orange, NJ 07052
Phone (973) 243-5777

Organizations & group practices 3

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": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1134353675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MAPLE ST",
            "city": "NEW YORK MILLS",
            "state": "NY",
            "postal_code": "134171235",
            "telephone_number": "315-269-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MAPLE ST",
            "city": "NEW YORK MILLS",
            "state": "NY",
            "postal_code": "134171235",
            "telephone_number": "315-269-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAM",
        "first_name": "LINDA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "260336",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB08941600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York Mills, NY

Sources for this page

Verify at the official NPI Registry.