Craig S. Kimmel, MD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

25MA05473800 Issued in NJ

Practice address

1 Brace Road
Suite B
Cherry Hill, NJ 08034

Phone

(856) 470-9029

Fax

(856) 428-4053

NPI assigned

Feb 27, 2006

Last updated

Jun 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Ashurst Family Physicians, PA

  • Family Medicine Physician
  • Lumberton, NJ
  • NPI 1861483299

  Sports Medicine

  NPD (past)
• Lourdes Medical Associates, PA

  dba Lourdes Medical Associates Surigcal Specialists

  • Surgery Physician
  • Moorestown, NJ
  • NPI 1952645525
  NPD (past)
• Lumberton Family Physicians, LLC

  • Family Medicine Physician
  • Lumberton, NJ
  • NPI 1851488001

  Sports Medicine

  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1255307591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GROVE ST",
            "address_2": "SUITE 100",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351761",
            "telephone_number": "856-796-9200",
            "fax_number": "856-796-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRACE ROAD",
            "address_2": "SUITE B",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08034",
            "telephone_number": "856-470-9029",
            "fax_number": "856-428-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "CRAIG",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MA05473800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2223902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dongho Kim, L. AC.
• Esther Kim
• Jessica K Kim, LCSW
• James Nicholas Kimbaris, MD
• Brooke Kimble
• W Reed Kindermann, M.D.
• Julie A King, PT
• Nancy Lee King, MPT
• Rachel Joelle King, DPT
• Rachel M King, CLD

• Sports Medicine (Family Medicine) Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Sports Medicine (Family Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.