Kimberley C Agbo, DO
Individual provider Active NPI Obstetrics & Gynecology Physician · Lawrenceville, NJ
NPI 1356907620 · NPPES record last updated Aug 4, 2023
Key facts
- NPI
- 1356907620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 25MB11862300 (NJ)
- Practice address
- 123 Franklin Corner Rd Ste 214
Lawrenceville, NJ 08648-2526 - Phone
- (609) 537-7200
- Fax
- (609) 303-4191
- NPI assigned
- May 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Rowan University School of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Capital Health Medical Group
Practice addresses (Care Compare)
123 Franklin Corner Rd
Suite 214
Lawrenceville, NJ 08648-2526
Phone (609) 896-1400
Hospital & facility affiliations
- Capital Health Medical Center - Hopewell
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.91 of 100
- Quality
- 79.42
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230905000027 | NJ | Practitioner - Obstetrics/Gynecology | 2668835901 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB11862300 | NJ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Health Medical Group | Obstetrics & Gynecology | Current |
Accepting new patients |
| Women'S Specialists of Bucks County, P.C. | Obstetrics & Gynecology | Past | Accepting new patients |
| Capital Health System, Inc. | Past | Accepting new patients |
Locations
100 K Johnson Blvd
Ste 101
Bordentown, NJ 08505
Phone (609) 298-2005
100 K Johnson Blvd
Bordentown, NJ 08505
Phone (609) 537-7200
1700 Nottingham Way
Ste 108
Hamilton, NJ 08619
Phone (609) 303-4870
3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661
123 Franklin Corner Rd
Ste 214
Lawrenceville, NJ 08648
Phone (609) 537-7200
1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/5bb47b8f-8587-42a0-80df-8d4eecf69db3/
- https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
- kimberley.agbo.1@12833.direct.athenahealth.com
- https://api.platform.athenahealth.com/2126/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MB11862300 | NJ | Yes |
Addresses
Primary practice location
123 Franklin Corner Rd Ste 214
Lawrenceville, NJ 08648-2526
Mailing address
175 Mountainview Ave
Scotch Plains, NJ 07076-1444
Other practice location 1
1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone (856) 641-8000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kimberley.agbo.1@12833.direct.athenahealth.com | Direct |
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- Advocare , LLC
- Robyn Agri
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All providers in Lawrenceville, NJ · Obstetrics & Gynecology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.