Kimberly Rethy, DO
Individual provider Active NPI Otolaryngology Physician · East Brunswick, NJ
NPI 1295150217 · NPPES record last updated Jul 8, 2019
Key facts
- NPI
- 1295150217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 25MB10578200 (NJ)
- Practice address
- 557 Cranbury Rd Ste 3
East Brunswick, NJ 08816-5419 - Phone
- (732) 613-0600
- NPI assigned
- Feb 27, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- ENT and Allergy Associates LLP
Practice addresses (Care Compare)
557 Cranbury Rd
Suite 3
East Brunswick, NJ 08816-5419
Phone (732) 613-0600
Hospital & facility affiliations
- Saint Peter'S University Hospital
- Kessler Rehab Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.45 of 100
- Quality
- 89.91
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190730003964 | NJ | Practitioner - Otolaryngology | 9830474378 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB10578200 | NJ | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Otolaryngology Associates | Otolaryngology | Current |
Accepting new patients |
| ENT and Allergy Associates LLP | Otolaryngology | Current |
Accepting new patients |
Locations
557 Cranbury Rd
Ste 3
East Brunswick, NJ 08816
Phone (732) 613-0600
1211 Hamburg Tpke
Ste 205
Wayne, NJ 07470
Phone (973) 633-0808
660 White Plains Rd
Fl Fourth
Tarrytown, NY 10591
Phone (914) 984-2546
660 White Plains Rd
Ste 400
Tarrytown, NY 10591
Phone (914) 333-5800
Interoperability endpoints
- kimberly.rethy@direct.entandallergy.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Otolaryngology Physician | 207Y00000X | 25MB10578200 | NJ | Yes |
Addresses
Primary practice location
557 Cranbury Rd Ste 3
East Brunswick, NJ 08816-5419
Mailing address
660 White Plains Rd Ste 400
Tarrytown, NY 10591-5107
Phone (914) 984-2546
Other practice location 1
4190 City Ave
Philadelphia, PA 19131-1626
Phone (215) 871-6693
Other providers in East Brunswick, NJ
- Jennifer Rerngsamai
- Robyn Resko
- Annamarie Resnikoff
- Leonard B Resnikoff
- Resolution Point Behavioral Health, LLC
- Revolutionary Brier Hill LLC
- Angelica Reyes-Corrochano
- Michelle D Reyes-Vasquez
- John Rezk
- Jessica Rhiner
All providers in East Brunswick, NJ · Otolaryngology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.