Individual provider Active NPI

Kristen M Sikorski, MD

  • Allergy & Immunology Physician
  • Skillman, NJ
National Provider Identifier
1194722991
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MA07571 Issued in NJ
Practice address
24 Vreeland Dr
Skillman, NJ 08558-2621
Phone
(609) 921-2202
Fax
(609) 924-1468
NPI assigned
Jul 7, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MA07571 NJ Primary

Addresses

Primary practice location

24 Vreeland Dr
Skillman, NJ 08558-2621

Mailing address

24 Vreeland Dr
Skillman, NJ 08558-2621
Phone (609) 921-2202

Other identifiers 2

IdentifierTypeStateIssuer
05551668OtherECFMG
0006025MedicaidNJ

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
I20040128000507 NJ Practitioner - Allergy/Immunology 3678476645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Allergy and Asthma Associates, PAGroup PAC ID 3971402314, 7 clinicians

Practice addresses (Care Compare)

24 Vreeland Dr
Suite 2
Skillman, NJ 08558-2621
Phone (609) 921-2202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA07571NJMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Center for Clinical Research PastSince Jul 1, 2003 Accepting new patients
Road Worth Traveling PastSince Aug 28, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGJABA/Endpoint/DGJABA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1194722991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 VREELAND DR",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582621",
            "telephone_number": "609-921-2202",
            "fax_number": "609-924-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 VREELAND DR",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582621",
            "telephone_number": "609-921-2202",
            "fax_number": "609-924-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKORSKI",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "MA07571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "05551668",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006025",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skillman, NJ

Sources for this page

Verify at the official NPI Registry.