Individual provider Active NPI

Kristen Danielle Donohue, M.D.

  • Surgery Physician
  • New Brunswick, NJ
National Provider Identifier
1235562091
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA10234900 Issued in NJ
Practice address
110 Somerset St
Apt 1109
New Brunswick, NJ 08901-4800
Phone
(732) 861-5685
NPI assigned
Aug 15, 2013
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA10234900 NJ Primary
Colon & Rectal Surgery Physician 208C00000X 25MA10234900 NJ

Addresses

Primary practice location

110 Somerset St
Apt 1109
New Brunswick, NJ 08901-4800

Mailing address

157 Monmouth Ave
Atlantic Highlands, NJ 07716-2221
Phone (732) 861-5685

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
I20200910001755 NJ Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 2466870266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
Rutgers, Robert Woood Johnson Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

125 Paterson St
New Brunswick, NJ 08901-1962
Phone (732) 235-7920

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy42
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10234900NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Neurosurgery Faculty Surgery CurrentSince Feb 1, 2021 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty Surgery CurrentSince Oct 1, 2020 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty Current Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Feb 1, 2021 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty Past Accepting new patients

Locations

1 Robert Wood Johnson Pl
#2200
New Brunswick, NJ 08901

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333

10 Plum St
Fl 5
New Brunswick, NJ 08901
Phone (732) 235-5530

125 Paterson St
New Brunswick, NJ 08901
Phone (732) 235-6511

125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756

210 Somerset St
Fl 5
New Brunswick, NJ 08901
Phone (732) 235-8845

Interoperability endpoints

  • Direct secure messaging: kdonohue45874@epicdirect.rwjbh.org

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": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1235562091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 MONMOUTH AVE",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077162221",
            "telephone_number": "732-861-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOMERSET ST",
            "address_2": "APT 1109",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089014800",
            "telephone_number": "732-861-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "KRISTEN",
        "middle_name": "DANIELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA10234900",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NJ",
            "license": "25MA10234900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.