Individual provider Active NPI

Kathryn Payne Edwards, M.D.

  • Allergy & Immunology Physician
  • Robbinsville, NJ
National Provider Identifier
1326197039
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
25MA10240200 Issued in NJ
Practice address
1 Union St Ste 203
Robbinsville, NJ 08691-4219
Phone
(609) 436-5740
Fax
(609) 436-5741
NPI assigned
Jan 10, 2007
Last updated
Jan 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 0101242945 VA
Allergy & Immunology Physician 207K00000X MD462881 PA
Allergy & Immunology Physician 207K00000X 25MA10240200 NJ Primary
Pediatrics Physician 208000000X 0101242945 VA
Pediatrics Physician 208000000X 25MA10240200 NJ
Pediatrics Physician 208000000X MD462881 PA

Addresses

Primary practice location

1 Union St Ste 203
Robbinsville, NJ 08691-4219

Mailing address

1 Union St Ste 203
Robbinsville, NJ 08691-4219
Phone (609) 436-5740

Other practice location 1

256 Bunn Dr Ste A
Princeton, NJ 08540-2859
Phone (609) 430-9200

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180509002917 NJ Practitioner - Pediatric MedicinePractitioner - Allergy/Immunology 6901160415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Allergy/Immunology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Union St
Suite 203
Robbinsville, NJ 08691-4219
Phone (609) 436-5740

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10240200NJMDAllergy & Immunology Physician
0101242945VAMDAllergy & Immunology Physician
MD462881PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, PC Pediatrics CurrentSince Jan 7, 2019 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Jan 7, 2019 Accepting new patients
Becker Nose and Sinus Center, LLC PastSince Jul 2, 2018 Accepting new patients

Locations

256 Bunn Dr
Ste A
Princeton, NJ 08540
Phone (609) 430-9200

1 Union St
Ste 203
Robbinsville, NJ 08691
Phone (609) 436-5740

1001 Sheppard Rd
Voorhees, NJ 08043
Phone (856) 745-9697

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1326197039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNION ST STE 203",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086914219",
            "telephone_number": "609-436-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNION ST STE 203",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086914219",
            "telephone_number": "609-436-5740",
            "fax_number": "609-436-5741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "256 Bunn Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085402859",
            "country_code": "US",
            "telephone_number": "609-430-9200",
            "fax_number": "609-430-9202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KATHRYN",
        "middle_name": "PAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0101242945",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PA",
            "license": "MD462881",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA10240200",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101242945",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA10240200",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD462881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsville, NJ

Sources for this page

Verify at the official NPI Registry.