Individual provider Active NPI

Kerryann Kilkenny-Trainor, M.D.

  • Internal Medicine Physician
  • Morristown, NJ
National Provider Identifier
1265461925
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA60493 Issued in NJ
Practice address
11 Hill St
Morristown, NJ 07960-5328
Phone
(973) 538-5844
Fax
(973) 267-0181
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA60493 NJ Primary

Addresses

Primary practice location

11 Hill St
Morristown, NJ 07960-5328

Mailing address

PO Box 1689
Morristown, NJ 07962-1689
Phone (973) 538-8837

Other identifiers 1

IdentifierTypeStateIssuer
6915400MedicaidNJ

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA60493NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Associates of Morristown, P.a. Internal Medicine Past Accepting new patients
Blair Medical Associates, P.a. Internal Medicine Past Accepting new patients
Practice Associates Medical Group Internal Medicine Past Accepting new patients
Travel Heath Consultants, LLC Past Accepting new patients
Affiliated Medical Associates of Morristown, P.a. PastSince Oct 1, 1993 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265461925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1689",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079621689",
            "telephone_number": "973-538-8837",
            "fax_number": "973-538-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HILL ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605328",
            "telephone_number": "973-538-5844",
            "fax_number": "973-267-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILKENNY-TRAINOR",
        "first_name": "KERRYANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA60493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6915400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.