Organization Active NPI

KSN LLC

  • Health Information Technician
  • Newark, NJ
National Provider Identifier
1265804868
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Information TechnicianTaxonomy code 247000000X
Legal business name
KSN LLC
Practice address
478 15TH Ave
Newark, NJ 07103-2031
Phone
(973) 900-6087
NPI assigned
Oct 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Mrs. Robin Carlena Bailey
Title
Owner
Phone
(862) 944-5889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Information TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247000000X Primary

Addresses

Primary practice location

478 15TH Ave
Newark, NJ 07103-2031

Mailing address

PO Box 3791
Newark, NJ 07103-0791
Phone (973) 900-6087

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1265804868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3791",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071030791",
            "telephone_number": "973-900-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 15TH AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032031",
            "telephone_number": "973-900-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "CARLENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-944-5889",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "247000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Health Information",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.