Active NPI
Kirsten Fraser, PA-C
- Medical Physician Assistant
- Clifton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 25MP00827600
- Practice address
- 1255 Broad St
Clifton, NJ 07013-3398 - Phone
- (973) 685-5755
- Fax
- (862) 662-2342
- NPI assigned
- Apr 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA062277 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Medical Physician Assistant | 363AM0700X | 25MP00827600 | NJ | Primary |
Addresses
Primary practice location
1255 Broad St
Clifton, NJ 07013-3398
Mailing address
261 Carol Jean Way
Branchburg, NJ 08876-3303
Phone (908) 566-6481
Other practice location 1
250 S 21st St
Easton, PA 18042-3851
Phone (908) 566-6481
Other practice location 2
261 Carol Jean Way
Branchburg, NJ 08876-3303
Phone (908) 566-6481
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 847-3212
279 State Route 31 S
Washington, NJ 07882-4098
Phone (484) 503-7546
755 Memorial Pkwy
Phillipsburg, NJ 08865-2748
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke's Warren Physician Group, PC | Current | Accepting new patients | |
| St. Luke's Warren Physician Group, PC | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc. | Past | Accepting new patients |
Locations
185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619
755 Memorial Pkwy
Ste 106
Phillipsburg, NJ 08865
Phone (908) 454-5221
279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201
250 S 21st St
Easton, PA 18042
Phone (610) 250-4300
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
Interoperability endpoints
- kfraser262577@direct-sluhn.org
- kfraser2302471@nychhc.direct-ci.com
Organizations & group practices 4
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.
-
- Hematology & Oncology Physician
- Phillipsburg, NJ
- NPI 1467725184
-
- Cardiovascular Disease Physician
- Phillipsburg, NJ
- NPI 1285061630
-
dba St. Luke's Warren Ophthalmology
- Ophthalmology Physician
- Phillipsburg, NJ
- NPI 1568347201
-
- Maternal & Fetal Medicine Physician
- Fountain Hill, PA
- NPI 1003867623
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phillipsburg, NJ
- NPI 1760488266
-
dba St. Luke's Hospital-Sacred Heart Campus
- General Acute Care Hospital
- Allentown, PA
- NPI 1366011413
-
dba St. Luke's Hospital - Anderson Campus
- General Acute Care Hospital
- Easton, PA
- NPI 1376339226
-
dba St. Luke's Hospital-Lehighton Campus
- General Acute Care Hospital
- Lehighton, PA
- NPI 1528737988
-
- General Acute Care Hospital
- Bethlehem, PA
- NPI 1013933175
-
dba St. Luke's Hospital - Allentown Campus
- General Acute Care Hospital
- Allentown, PA
- NPI 1548293954
-
dba St. Luke's Partial Hospitalization Program
- Adult Mental Health Clinic/Center
- Lehighton, PA
- NPI 1962094920
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1356970917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 CAROL JEAN WAY",
"city": "BRANCHBURG",
"state": "NJ",
"postal_code": "088763303",
"telephone_number": "908-566-6481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 BROAD ST",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133398",
"telephone_number": "973-685-5755",
"fax_number": "862-662-2342"
}
],
"practiceLocations": [
{
"address_1": "250 S 21st St",
"address_purpose": "LOCATION",
"city": "Easton",
"state": "PA",
"postal_code": "180423851",
"country_code": "US",
"telephone_number": "908-566-6481",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "261 Carol Jean Way",
"address_purpose": "LOCATION",
"city": "Branchburg",
"state": "NJ",
"postal_code": "088763303",
"country_code": "US",
"telephone_number": "908-566-6481",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRASER",
"first_name": "KIRSTEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-06",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA062277",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00827600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
- George Foukas, DMD
- Foundation for Adult Family Health Care Services
- Herbert Thomas Frankel, DMD
- Nicole Franks
- Alicia Frannicola, MS, CCC-SLP
- Marlene Fraulo, M.A. C,C,C,-SLP
- Freedom Medical Clinics
- Jonathan D. Freet, PA-C
- Fresenius Medical Care Passaic, LLC (Fresenius Kidney Care Passaic)
- Ashley Friedman, LAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.