Individual provider Active NPI

Kathe Olohan, RN APN

  • Adult Health Nurse Practitioner
  • Emerson, NJ
National Provider Identifier
1356566541
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
N0069069 Issued in NJ
Practice address
452 Old Hook Rd FL 2
Emerson, NJ 07630-1391
Phone
(201) 666-3900
Fax
(201) 261-0505
NPI assigned
Apr 14, 2007
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X N0069069 NJ Primary

Addresses

Primary practice location

452 Old Hook Rd FL 2
Emerson, NJ 07630-1391

Mailing address

PO Box 419430
Boston, MA 02241-9430
Phone (201) 967-8221

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
I20080410000058 NJ Practitioner - Nurse Practitioner 5193802510 Reassigns benefits to 1 organization

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
Metropolitan Endocrinology LLCGroup PAC ID 6406263607, 9 clinicians

Practice addresses (Care Compare)

725 River Rd
Suite 106
Edgewater, NJ 07020-1170
Phone (201) 781-5850

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N0069069NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Endocrinology, LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

725 River Rd
Ste 106
Edgewater, NJ 07020
Phone (201) 943-2273

400 Old Hook Rd
Ste 2-3
Westwood, NJ 07675
Phone (201) 666-4200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1356566541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419430",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022419430",
            "telephone_number": "201-967-8221",
            "fax_number": "201-483-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 OLD HOOK RD FL 2",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301391",
            "telephone_number": "201-666-3900",
            "fax_number": "201-261-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOHAN",
        "first_name": "KATHE",
        "credential": "RN APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "N0069069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emerson, NJ

Sources for this page

Verify at the official NPI Registry.