Active NPI
Jeannette Marie Kates, APN
- Gerontology Nurse Practitioner
- Marlton, NJ
National Provider Identifier
1255593703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 26NJ00170700
- Practice address
- 5 Eves Dr
Suite 300
Marlton, NJ 08053-3135 - Phone
- (856) 596-1600
- Fax
- (856) 552-2217
- NPI assigned
- Jun 26, 2008
- Last updated
- Jan 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | UP004616H | PA | |
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ00170700 | NJ | Primary |
Addresses
Primary practice location
5 Eves Dr
Suite 300
Marlton, NJ 08053-3135
Mailing address
5 Eves Dr
Suite 300
Marlton, NJ 08053-3135
Phone (856) 596-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Past | Accepting new patients | |
| Revolution Care, Inc. | Gerontology | Past | Accepting new patients |
| Primary Homecare, LLC | Gerontology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Jefferson GI
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
-
- Gerontology Nurse Practitioner
- North Wales, PA
- NPI 1255582300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357257600000",
"number": "1255593703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 EVES DR",
"address_2": "SUITE 300",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080533135",
"telephone_number": "856-596-1600",
"fax_number": "856-552-2217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 EVES DR",
"address_2": "SUITE 300",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080533135",
"telephone_number": "856-596-1600",
"fax_number": "856-552-2217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATES",
"first_name": "JEANNETTE",
"middle_name": "MARIE",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2013-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "UP004616H",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NJ00170700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.