Individual provider Active NPI

Kristin Elizabeth Donofry, APN

  • Acute Care Nurse Practitioner
  • Voorhees, NJ
National Provider Identifier
1194221333
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ00815300 Issued in NJ
Practice address
901 Centennial Boulevard 6200 Main Street Complex
Voorhees, NJ 08043
Phone
(856) 325-6516
Fax
(856) 325-6690
NPI assigned
Apr 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00815300 NJ Primary

Addresses

Primary practice location

901 Centennial Boulevard 6200 Main Street Complex
Voorhees, NJ 08043

Mailing address

1 Federal St Ste Sw200
Camden, NJ 08103-1155
Phone (856) 356-4924

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
I20180904001042 NJ Practitioner - Nurse Practitioner 2466702923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Surgical Associates, PAGroup PAC ID 3274430764, 303 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Surgical Associates, PA CurrentSince Jul 30, 2018 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Jul 30, 2018 Accepting new patients

Locations

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

3 Cooper Plz
Rm 513
Camden, NJ 08103
Phone (856) 963-3518

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

15 E Euclid Ave
Haddonfield, NJ 08033
Phone (856) 429-1711

2 Plaza Dr
Ste 203
Sewell, NJ 08080
Phone (856) 270-4100

900 Centennial Blvd
Bldg 1
Voorhees, NJ 08043
Phone (856) 325-6535

6200 Main St
Voorhees, NJ 08043
Phone (856) 325-6516

Interoperability endpoints

  • Direct secure messaging: kdonofry16913@direct.cooperhealth.edu

Organizations & group practices 2

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": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1194221333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE SW200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031155",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CENTENNIAL BOULEVARD 6200 MAIN STREET COMPLEX",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "08043",
            "telephone_number": "856-325-6516",
            "fax_number": "856-325-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOFRY",
        "first_name": "KRISTIN",
        "middle_name": "ELIZABETH",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00815300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.