Individual provider Active NPI

Jarrod Michael Kucharski, M.D.

  • Pediatrics Physician
  • Denville, NJ
National Provider Identifier
1225360217
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA08698800 Issued in NJ
Practice address
25 Pocono Rd
Denville, NJ 07834-2954
Phone
(973) 625-6000
NPI assigned
Feb 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA08698800 NJ Primary

Addresses

Primary practice location

25 Pocono Rd
Denville, NJ 07834-2954

Mailing address

1034 Bloomfield St
Apartment 1
Hoboken, NJ 07030-5220
Phone (201) 238-2606

Other identifiers 1

IdentifierTypeStateIssuer
6888305MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Drexel University College of Medicine, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 University Dr
Hershey, PA 17033-2390

905 W Governor Rd
Suite 200
Hershey, PA 17033-2310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08698800NJMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: jkucharski77161@direct.optum.com

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1225360217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 BLOOMFIELD ST",
            "address_2": "APARTMENT 1",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305220",
            "telephone_number": "201-238-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 POCONO RD",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342954",
            "telephone_number": "973-625-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHARSKI",
        "first_name": "JARROD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-02",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08698800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6888305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.