Organization Active NPI

Kane Wound Care LLC

Doing business as d/b/a Princeton Wound Care Center

  • Internal Medicine Physician
  • Princeton, NJ
National Provider Identifier
1275869802
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08159300 Issued in NJ
Legal business name
KANE WOUND CARE LLC
Doing business as
d/b/a Princeton Wound Care Center
Practice address
3626 Route 1 N
Princeton, NJ 08540-5922
Phone
(609) 945-3611
Fax
(609) 945-3688
NPI assigned
Nov 2, 2009
Last updated
Oct 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Authorized official

Name
Dr. Haresh S Kane, MDNPI 1134290224
Title
President and Ceo
Phone
(732) 841-9338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA08159300 NJ Primary

Addresses

Primary practice location

3626 Route 1 N
Princeton, NJ 08540-5922

Mailing address

3626 Route 1 N
Princeton, NJ 08540-5922
Phone (609) 945-3611

Other names 1

  • d/b/a Princeton Wound Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, PA, FL, IL6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20100518000684 NJ Part B Supplier - Clinic/Group Practice 2567591274 Receives reassigned benefits from 86 practitioners
O20180501001322 NY Part B Supplier - Clinic/Group Practice 2567591274 Receives reassigned benefits from 8 practitioners
Practice locations: Jamaica, NY; Commack, NY; Long Beach, NY; New Rochelle, NY; New York, NY; Plainview, NY; Rockville Centre, NY; Roslyn Heights, NY…
O20180502001928 PA Part B Supplier - Clinic/Group Practice 2567591274 Receives reassigned benefits from 24 practitioners
Practice locations: Philadelphia, PA; Plymouth Meeting, PA; Pottstown, PA; Royersford, PA; Sinking Spring, PA; Sunbury, PA; Wallingford, PA; Warminster, PA…
O20200327000123 FL Part B Supplier - Clinic/Group Practice 2567591274 Practice locations: West Palm Beach, FL
O20251010002695 IL Part B Supplier - Clinic/Group Practice 2567591274 Receives reassigned benefits from 4 practitioners
Practice locations: Chicago, IL
O20251024001631 NJ DME Supplier - Multi-Specialty - Physician 2567591274 Practice locations: Princeton, NJ

National Provider Directory

National Provider Directory

Locations (25 of 31)

700 Foulk Rd
Wilmington, DE 19803
Phone (302) 328-1582

700 E Dania Beach Blvd
Ste 2019
Dania Beach, FL 33004

99 Mulford Rd
#2
Andover, NJ 07821

114 Hayes Mill Rd
Atco, NJ 08004
Phone (856) 753-2000

78 Sliker Rd
#398
Califon, NJ 07830
Phone (908) 832-2220

4 Moore Rd
Cape May Court House, NJ 08210
Phone (609) 465-1060

65 N Sussex St
Dover, NJ 07801
Phone (973) 361-5200

1151 W Main St
Freehold, NJ 07728
Phone (732) 202-1000

188 State Route 34
#One
Holmdel, NJ 07733
Phone (732) 946-4200

198 Old Bergen Rd
#2622
Jersey City, NJ 07305
Phone (888) 560-5995

7 Laurel Ave
Keansburg, NJ 07734
Phone (732) 471-1600

3 S Main St
Marlboro, NJ 07746
Phone (732) 267-7340

361 Speedwell Ave
Morris Plains, NJ 07950
Phone (973) 718-3636

254 Easton Ave
#1B
New Brunswick, NJ 08901
Phone (732) 561-3816

6989 State Route 18
Old Bridge, NJ 08857
Phone (201) 360-2277

100 Hollinshead Spring Rd
Skillman, NJ 08558
Phone (609) 683-8355

1126 Lakewood Rd
Toms River, NJ 08753
Phone (732) 290-2273

1700 Route 37 E
Toms River, NJ 08753
Phone (732) 341-0880

1931 US Highway 9
Toms River, NJ 08755
Phone (732) 286-2323

1314 Brunswick Ave
Trenton, NJ 08638
Phone (609) 656-9291

1675 Whitehorse Mercerville Rd
Trenton, NJ 08619

3200 Hudson Ave
Union City, NJ 07087
Phone (201) 325-8400

2621 State Route 138
#One
Wall Township, NJ 07719
Phone (732) 556-1060

415 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 206-8000

1440 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 832-0707

Practitioners & affiliated clinicians

Practitioners 118

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 118

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1275869802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 ROUTE 1 N",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405922",
            "telephone_number": "609-945-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 ROUTE 1 N",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405922",
            "telephone_number": "609-945-3611",
            "fax_number": "609-945-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANE WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "HARESH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "732-841-9338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08159300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "d/b/a Princeton Wound Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.