Individual provider Active NPI

Kathleen A Trow, CRNP

  • Family Nurse Practitioner
  • Woodbury Heights, NJ
National Provider Identifier
1134562655
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00416700 Issued in NJ
Practice address
1006 Mantua Pike
Penn Medicine Woodbury Heights
Woodbury Heights, NJ 08096
Phone
(856) 845-8600
Fax
(856) 858-3424
NPI assigned
Apr 15, 2013
Last updated
Dec 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00416700 NJ Primary

Addresses

Primary practice location

1006 Mantua Pike
Penn Medicine Woodbury Heights
Woodbury Heights, NJ 08096

Mailing address

1006 Mantua Pike
Penn Medicine Woodbury Heights
Woodbury Heights, NJ 08096
Phone (856) 845-8600

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
I20130613000417 NJ Practitioner - Nurse Practitioner 5597904029 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1134562655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 MANTUA PIKE",
            "address_2": "PENN MEDICINE WOODBURY HEIGHTS",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "08096",
            "telephone_number": "856-845-8600",
            "fax_number": "856-858-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 MANTUA PIKE",
            "address_2": "PENN MEDICINE WOODBURY HEIGHTS",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "08096",
            "telephone_number": "856-845-8600",
            "fax_number": "856-858-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROW",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00416700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury Heights, NJ

Sources for this page

Verify at the official NPI Registry.