Individual provider Active NPI

James K Kilonzo, APN-C

  • Primary Care Nurse Practitioner
  • West Orange, NJ
National Provider Identifier
1225766538
Registry record updated Aug 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ01348700 Issued in NJ
Practice address
8 Fremont St
West Orange, NJ 07052-6109
Phone
(973) 951-5304
NPI assigned
Aug 13, 2022
Last updated
Aug 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ01348700 NJ Primary

Addresses

Primary practice location

8 Fremont St
West Orange, NJ 07052-6109

Mailing address

8 Fremont St
West Orange, NJ 07052-6109
Phone (973) 951-5304

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
I20230427000417 NJ Practitioner - Nurse Practitioner 9032574074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University HospitalGroup PAC ID 5294636874, 77 clinicians

Practice addresses (Care Compare)

140 Bergen St
Newark, NJ 07103-2425
Phone (973) 972-3282

30 Bergen St
Admc 1327
Newark, NJ 07103-1709

30 Bergen St Admc
1327 Attn John Gary Huck
Newark, NJ 07103-1709

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital CurrentSince Feb 13, 2024 Accepting new patients
University Hospital CurrentSince Feb 13, 2024 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Jan 8, 2024 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Jan 8, 2024 Accepting new patients
University Physician Associates of New Jersey Inc Past Accepting new patients

Locations

140 Bergen St
#F1776
Newark, NJ 07103
Phone (973) 972-3282

90 Bergen St
Ste 8100
Newark, NJ 07103
Phone (973) 972-0037

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1660348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660348800000",
    "number": "1225766538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FREMONT ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070526109",
            "telephone_number": "973-951-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 FREMONT ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070526109",
            "telephone_number": "973-951-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILONZO",
        "first_name": "JAMES",
        "middle_name": "K",
        "credential": "APN-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-13",
        "last_updated": "2022-08-13",
        "certification_date": "2022-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01348700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.