NPIMap

Individual provider Active NPI

Kristen Elizabeth Trom, D.O.

  • Family Medicine Physician
  • Mullica Hill, NJ
National Provider Identifier
1164858700
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB09722400 Issued in NJ
Practice address
155 Bridgeton Pike Ste a
Mullica Hill, NJ 08062-2669
Phone
(856) 223-0500
Fax
(856) 223-1098
NPI assigned
Sep 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 25MB09722400 NJ Primary

Addresses

Primary practice location

155 Bridgeton Pike Ste a
Mullica Hill, NJ 08062-2669

Mailing address

1505 W Sherman Ave
Vineland, NJ 08360-6912
Phone (856) 641-8000

Other practice location 1

1505 W Sherman Ave
Vineland, NJ 08360-6912
Phone (856) 641-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160129000463 NJ Practitioner - Family Practice 4486957107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Physicians and Surgeons, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

155 Bridgeton Pike
Suite a
Mullica Hill, NJ 08062-2639
Phone (856) 223-0500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
GT Urgent Care PC CurrentSince Dec 20, 2015 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Sep 1, 2016 Accepting new patients
South Jersey Urgicare LLC PastSince Jul 1, 2014 Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients

Locations

2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333

200 Rowan Blvd
Glassboro, NJ 08028
Phone (856) 582-0500

1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071

155 Bridgeton Pike
Ste A
Mullica Hill, NJ 08062
Phone (856) 223-0500

700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000

201 Tomlin Station Rd
Ste B
Mullica Hill, NJ 08062
Phone (856) 241-2500

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

17 W Red Bank Ave
Ste 104
Woodbury, NJ 08096
Phone (856) 848-0665

100 Lexington Rd
Ste 100
Woolwich Twp, NJ 08085
Phone (856) 223-8930

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1379203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1164858700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606912",
            "telephone_number": "856-641-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BRIDGETON PIKE STE A",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622669",
            "telephone_number": "856-223-0500",
            "fax_number": "856-223-1098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 W Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083606912",
            "country_code": "US",
            "telephone_number": "856-641-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROM",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09722400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

Verify at the official NPI Registry.