Organization Active NPI

Sheryl Haber Kuo MD PC

  • Internal Medicine Physician
  • Trenton, NJ
National Provider Identifier
1326071853
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
63867 Issued in NJ
Legal business name
SHERYL HABER KUO MD PC
Practice address
2312 Whitehorse Mercerville Rd
Suite #201
Trenton, NJ 08619-1953
Phone
(609) 586-9566
Fax
(609) 586-9055
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dr. Sheryl Haber Kuo, MD
Title
Physician/Owner
Phone
(609) 586-9566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 63867 NJ Primary

Addresses

Primary practice location

2312 Whitehorse Mercerville Rd
Suite #201
Trenton, NJ 08619-1953

Mailing address

2312 Whitehorse Mercerville Rd
Suite #201
Trenton, NJ 08619-1953
Phone (609) 586-9566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050317000235 NJ Part B Supplier - Clinic/Group Practice 4688629140 Receives reassigned benefits from 1 practitioner
Practice locations: Mercerville, NJ

National Provider Directory

National Provider Directory

Locations

2312 Whitehorse Mercerville Rd
Ste 201
Trenton, NJ 08619
Phone (609) 586-9566

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18395/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1326071853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE #201",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086191953",
            "telephone_number": "609-586-9566",
            "fax_number": "609-586-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE #201",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086191953",
            "telephone_number": "609-586-9566",
            "fax_number": "609-586-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERYL HABER KUO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "KUO",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "HABER",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "609-586-9566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "63867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.