Individual provider Active NPI

Karen Kiefer, APN

  • Gerontology Nurse Practitioner
  • Kenilworth, NJ
National Provider Identifier
1194297978
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ00872700 Issued in NJ
Practice address
657 Newark Ave
Kenilworth, NJ 07033-1652
Phone
(908) 477-3047
NPI assigned
Dec 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00872700 NJ
Gerontology Nurse Practitioner 363LG0600X 26NJ00872700 NJ Primary

Addresses

Primary practice location

657 Newark Ave
Kenilworth, NJ 07033-1652

Mailing address

657 Newark Ave
Kenilworth, NJ 07033-1652
Phone (908) 477-3047

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
I20190917000151 NJ Practitioner - Nurse Practitioner 6406185420 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
40.01 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
79.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00872700NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgecare Provider Group LLC CurrentSince Aug 23, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Aug 30, 2024 Accepting new patients
Careconnectmd New Jersey PC CurrentSince Jan 1, 2025 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Sep 13, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Aug 30, 2024 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

173 Bridge Plz N
Fort Lee, NJ 07024
Phone (201) 468-2065

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

201 Lyons Ave
#L4
Newark, NJ 07112
Phone (973) 926-7154

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Organizations & group practices 5

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": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1194297978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 NEWARK AVE",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331652",
            "telephone_number": "908-477-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 NEWARK AVE",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331652",
            "telephone_number": "908-477-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEFER",
        "first_name": "KAREN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00872700",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00872700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenilworth, NJ

Sources for this page

Verify at the official NPI Registry.