Individual provider Active NPI

Katie Elizabeth Kunamneni, M.D.

  • Internal Medicine Physician
  • Holmdel, NJ
National Provider Identifier
1164620001
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08817700 Issued in NJ
Practice address
3 Tiberon Dr
Holmdel, NJ 07733-2602
Phone
(732) 365-4809
Fax
(732) 520-3674
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08817700 NJ Primary

Addresses

Primary practice location

3 Tiberon Dr
Holmdel, NJ 07733-2602

Mailing address

3 Tiberon Dr
Holmdel, NJ 07733-2602
Phone (732) 365-4809

Other names 1

  • Dr. Katie Elizabeth Hoffmann Former name

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
I20110607000327 NJ Practitioner - Internal Medicine 4789861410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3600 Route 66
FL 3
Neptune, NJ 07753

735 N Beers St
2ND Floor
Holmdel, NJ 07733-1515

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Primary Care PC Family Medicine CurrentSince Sep 6, 2016 Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

735 N Beers St
Fl 2
Holmdel, NJ 07733
Phone (732) 264-8484

735 N Beers St
Holmdel, NJ 07733
Phone (732) 497-1611

Interoperability endpoints

  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1164620001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TIBERON DR",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332602",
            "telephone_number": "732-365-4809",
            "fax_number": "732-520-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 TIBERON DR",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332602",
            "telephone_number": "732-365-4809",
            "fax_number": "732-520-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNAMNENI",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08817700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "HOFFMANN",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.