Lauren Illya Kohlberg, C.P.N.P

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

26NO12100400 Issued in NJ

Practice address

1500 Pleasant Valley Way
Suite 301
West Orange, NJ 07052-2956

Phone

(973) 243-0002

NPI assigned

Apr 8, 2007

Last updated

Jun 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

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.

• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696
  Medicare reassignment NPD
• Advocare , LLC

  dba Advocare Berlin Medical Associates (DME)

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD
• C and M Kintiroglou MD's PA

  • Pediatric Adolescent Medicine Physician
  • West Orange, NJ
  • NPI 1689969396
  NPD (past)
• Kintiroglou Pediatrics LLC

  • Pediatrics Physician
  • West Orange, NJ
  • NPI 1144081852
  NPD (past)

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1235252065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 ZEPPI LN",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524130",
            "telephone_number": "973-736-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PLEASANT VALLEY WAY",
            "address_2": "SUITE 301",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522956",
            "telephone_number": "973-243-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLBERG",
        "first_name": "LAUREN",
        "middle_name": "ILLYA",
        "name_prefix": "Mrs.",
        "credential": "C.P.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-08",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NO12100400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Klein, PT
• Klvsp Corporation
• Cristina Marie Klymasz, MS, OTR/L, CBIS
• Debra Ann Knapp, AU.D.
• Edward Valery Kogan, M.D.
• Melissa R Kokai, OTR
• Vijay Kumar Kolluri, MD
• Naga Malleswari Komati, MD
• Kimberly Susan Kones, OTR
• Yekyung Kong

• Pediatric Nurse Practitioner in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.