Active NPI
Kenneth Brown, MD
- Emergency Medicine Physician
- Cherry Hill, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA04844900
- Practice address
- 1305 Kings Hwy N
Cherry Hill, NJ 08034-1919 - Phone
- (856) 651-7826
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101037485 | VA | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 25MA04844900 | NJ | |
| Emergency Medicine Physician | 207P00000X | 25MA04844900 | NJ | Primary |
Addresses
Primary practice location
1305 Kings Hwy N
Cherry Hill, NJ 08034-1919
Mailing address
PO Box 717
Livingston, NJ 07039-0717
Phone (973) 740-0607
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164521084 | Medicaid | VA | |
| 3810016306 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040726000936 | NJ | Practitioner - Emergency Medicine | 6305824293 | Reassigns benefits to 1 organization |
| I20070411000272 | VA | Practitioner - Emergency Medicine | 6305824293 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Eastern Virginia Medical School, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Medicine Associates P.a., P.C.
Practice addresses (Care Compare)
1500 N 28TH St
Richmond, VA 23223-5332
Phone (240) 686-2300
Hospital & facility affiliations
- Bon Secours Harbour View Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 76.36
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101037485 | VA | MD | Emergency Medicine Physician |
| 25MA04844900 | NJ | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Health Norfolk LLC | Current | Accepting new patients | |
| BHG Xlii, LLC | Current | Accepting new patients | |
| Affinity Healthcare Group Cherry Hill LLC | Current | Accepting new patients | |
| BHG Lix, LLC | Current | Accepting new patients | |
| BHG Lix, LLC | Current | Accepting new patients | |
| BHG Xlii, LLC | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Emergency Medicine Associates, P.a.,P.C. | Current | Accepting new patients | |
| BHG Xli, LLC | Current | Accepting new patients | |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| BHG Xlii, LLC | Past | Accepting new patients | |
| Professional Emergency Care, PC | Emergency Medicine | Past | Accepting new patients |
| Ehra Medical Services of Virginia, PC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medical Associates of New Jersey PA | Emergency Medicine | Past | Accepting new patients |
| Tuckahoe Creek Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medical Associates of New Jersey PA | Emergency Medicine | Past | Accepting new patients |
| Staunton Treatment Center, LLC | Past | Accepting new patients | |
| Emergency Medical Metro P C | Emergency Medicine | Past | Accepting new patients |
| Meadowlands Emergency Medical Associates LLC | Emergency Medicine | Past | Accepting new patients |
| Blue & Grey Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| VA-I Medical Services PC | Past | Accepting new patients | |
| Dimensions Health Corporation | Emergency Medicine | Past | Accepting new patients |
| Union Emergency Medical Associates LLC | Emergency Medicine | Past | Accepting new patients |
Locations
15001 Health Center Dr
Bowie, MD 20716
Phone (301) 262-5511
1305 Kings Hwy N
Cherry Hill, NJ 08034
Phone (856) 428-6451
5001 Spring Vly
Ste 600E
Dallas, TX 75244
5001 Spring Valley Rd
Ste 600
Dallas, TX 75244
109 Wimbledon Sq
Ste A
Chesapeake, VA 23320
Phone (757) 410-8244
3322 Western Branch Blvd
Ste A
Chesapeake, VA 23321
Phone (757) 673-3644
3356 Western Branch Blvd
Ste F
Chesapeake, VA 23321
Phone (214) 365-6132
109 Wimbledon Sq
Ste H
Chesapeake, VA 23320
Phone (757) 410-8244
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
1333 Carrsville Hwy
Franklin, VA 23851
Phone (757) 304-9857
13100 Mountain Rd
Glen Allen, VA 23059
Phone 8042300999 ext. 224
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
6000 Jefferson Ave
#B
Newport News, VA 23605
Phone (757) 304-9857
3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200
1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700
5715 Princess Anne Rd
Virginia Beach, VA 23462
Phone (757) 962-0748
5715 Princess Anne Rd
#106
Virginia Beach, VA 23462
Phone (757) 962-0748
Organizations & group practices 25
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Virginia Beach, VA
- NPI 1003362484
VA
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
-
- Methadone Clinic
- Norfolk, VA
- NPI 1316821598
-
- Community/Behavioral Health Agency
- Virginia Beach, VA
- NPI 1174297758
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Chesapeake, VA
- NPI 1922584366
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Emergency Medicine Physician
- Morristown, NJ
- NPI 1477591360
Emergency Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1164521084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 717",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070390717",
"telephone_number": "973-740-0607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 KINGS HWY N",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080341919",
"telephone_number": "856-651-7826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KENNETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101037485",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "NJ",
"license": "25MA04844900",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA04844900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164521084",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810016306",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.