Individual provider Active NPI

Kathleen Kenney Judge, NP-C

  • Adult Health Nurse Practitioner
  • Voorhees, NJ
National Provider Identifier
1306156294
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00004200 Issued in NJ
Practice address
200 Bowman Dr Ste E355B
Voorhees, NJ 08043-9623
Phone
(856) 247-7260
Fax
(856) 247-7261
NPI assigned
Oct 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Enterostomal Therapy Registered Nurse 163WE0900X 26NJ00004200 NJ
Adult Health Nurse Practitioner 363LA2200X 26NJ00004200 NJ Primary

Addresses

Primary practice location

200 Bowman Dr Ste E355B
Voorhees, NJ 08043-9623

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Other practice location 2

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

Other practice location 3

175 Madison Ave
Mount Holly, NJ 08060-2099
Phone (856) 247-7260

Other practice location 4

100 Long A Coming Ln
Berlin, NJ 08009-1964
Phone (856) 247-7260

Other practice location 5

62 Richmond Ave
Lumberton, NJ 08048-1632
Phone (856) 247-7260

Other practice location 6

Professional Building East, 1113 Hospital Drive
Suit 101
Willingboro, NJ 08046
Phone (609) 835-5240

Other identifiers 1

IdentifierTypeStateIssuer
0448427MedicaidNJ

Electronic endpoints 7

TypeEndpointUseAffiliation
Direct Messaging Address kjudge5851@directvirtua.org
Direct Messaging Address kjudge5851@directvirtua.org
Direct Messaging Address kjudge5851@directvirtua.org
Direct Messaging Address kjudge5851@directvirtua.org
Direct Messaging Address kjudge5851@directvirtua.org
Direct Messaging Address kjudge5851@directvirtua.org
Direct Messaging Address kjudge5851@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110719000256 NJ Practitioner - Nurse Practitioner 5092983015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

175 Madison Ave
Mount Holly, NJ 08060-2038

3242 Route 206
Bordentown, NJ 08505-4517

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00004200NJMDEnterostomal Therapy Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Sep 1, 2019 Accepting new patients
Virtua Medical Group, PA CurrentSince Nov 1, 2019 Accepting new patients
Nurse Practitioner Professional Resources Adult Health CurrentSince Jun 15, 2011 Accepting new patients
Virtua Medical Group, PA CurrentSince Nov 1, 2019 Accepting new patients
Virtua - West Jersey Health System, Inc. PastSince Sep 1, 2019 Accepting new patients

Locations

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

100 Long a Coming Ln
Berlin, NJ 08009
Phone (856) 247-7260

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

62 Richmond Ave
Lumberton, NJ 08048
Phone (609) 267-8800

90 Brick Rd
#G
Marlton, NJ 08053

90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

200 Bowman Dr
Ste E355B
Voorhees, NJ 08043
Phone (856) 247-7210

200 Bowman Dr
Ste E110
Voorhees, NJ 08043
Phone (856) 247-7260

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

1113 Hospital Dr
Ste 101
Willingboro, NJ 08046
Phone (609) 835-2900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26288/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1306156294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOWMAN DR STE E355B",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439623",
            "telephone_number": "856-247-7260",
            "fax_number": "856-247-7261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Brick Rd",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080532177",
            "country_code": "US",
            "telephone_number": "856-247-7260",
            "fax_number": "856-247-7261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Bowman Dr",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439612",
            "country_code": "US",
            "telephone_number": "856-247-7260",
            "fax_number": "856-247-7261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080602099",
            "country_code": "US",
            "telephone_number": "856-247-7260",
            "fax_number": "856-247-7261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Long A Coming Ln",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "NJ",
            "postal_code": "080091964",
            "country_code": "US",
            "telephone_number": "856-247-7260",
            "fax_number": "856-247-7361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NJ",
            "postal_code": "080481632",
            "country_code": "US",
            "telephone_number": "856-247-7260",
            "fax_number": "856-247-7261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Professional Building East, 1113 Hospital Drive",
            "address_2": "Suit 101",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "08046",
            "country_code": "US",
            "telephone_number": "609-835-5240",
            "fax_number": "856-247-7261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDGE",
        "first_name": "KATHLEEN",
        "middle_name": "KENNEY",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0900X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Enterostomal Therapy",
            "state": "NJ",
            "license": "26NJ00004200",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00004200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0448427",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjudge5851@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Bowman Dr Ste E355B",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjudge5851@directvirtua.org",
            "affiliation": "N",
            "address_1": "90 Brick Rd",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080532177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjudge5851@directvirtua.org",
            "affiliation": "N",
            "address_1": "62 Richmond Ave",
            "city": "Lumberton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080481632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjudge5851@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Long A Coming Ln",
            "city": "Berlin",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080091964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjudge5851@directvirtua.org",
            "affiliation": "N",
            "address_1": "175 Madison Ave",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080602099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjudge5851@directvirtua.org",
            "affiliation": "N",
            "address_1": "Professional Building East, 1113 Hospital Drive",
            "address_2": "Suit 101",
            "city": "Willingboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjudge5851@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Bowman Dr",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.