NPIMap

Individual provider Active NPI

Anna Kissin, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Florham Park, NJ
National Provider Identifier
1336254762
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
25MA08313700 Issued in NJ
Practice address
10 James St
Suite 140
Florham Park, NJ 07932-1426
Phone
(973) 665-8100
Fax
(973) 665-8097
NPI assigned
Aug 19, 2006
Last updated
Feb 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 25MA08313700 NJ Primary

Addresses

Primary practice location

10 James St
Suite 140
Florham Park, NJ 07932-1426

Mailing address

10 James St
Suite 140
Florham Park, NJ 07932-1426
Phone (973) 665-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071108000397 NJ Practitioner - EndocrinologyPractitioner - Internal Medicine 0648170407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endocrine Consultants of Morris CountyGroup PAC ID 8729124128, 3 clinicians

Practice addresses (Care Compare)

10 James St
Suite 140
Florham Park, NJ 07932-1405
Phone (973) 665-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.35 of 100Reported as group
Quality
87.21
Improvement activities
40
Cost
78.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
S.P. Associates, D.O., P.C. CurrentSince Jan 17, 2013 Accepting new patients
Endocrine Consultants of Morris County CurrentSince Jan 17, 2013 Accepting new patients
North Shore-Lij Medical PC Past Accepting new patients
Access Medical Group,PC Endocrinology, Diabetes & Metabolism PastSince Feb 1, 2007 Accepting new patients
Endocrine Medical Associates, LLC Endocrinology, Diabetes & Metabolism PastSince Jun 5, 2001 Accepting new patients

Locations

10 James St
Ste 140
Florham Park, NJ 07932
Phone (973) 665-8100

Interoperability endpoints

  • Direct secure messaging: anna.kissin@ecmc.eclinicaldirectplus.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/PYvsXOYiL9Kg269uLlyr8nOudyrp1k0M/
  • FHIR API: https://fhir4.healow.com/fhir/r4/HDEHAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1336254762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JAMES ST",
            "address_2": "SUITE 140",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321426",
            "telephone_number": "973-665-8100",
            "fax_number": "973-665-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 JAMES ST",
            "address_2": "SUITE 140",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321426",
            "telephone_number": "973-665-8100",
            "fax_number": "973-665-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSIN",
        "first_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA08313700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.