Active NPI
Kmed Medical Solutions
- Primary Care Nurse Practitioner
- East Orange, NJ
National Provider Identifier
1366262602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- KMED MEDICAL SOLUTIONS
- Practice address
- 276 Prospect St
East Orange, NJ 07017-2889 - Phone
- (973) 897-2969
- NPI assigned
- Oct 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Keary Ro-Han Hinds, NP
- Title
- Provider
- Phone
- (973) 897-2969
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Gerontology Nurse Practitioner | 363LG0600X | |||
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
276 Prospect St
East Orange, NJ 07017-2889
Mailing address
14 Cross Oak LN
West Milford, NJ 07480-3600
Phone (973) 897-2969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- West Milford, NJ
- NPI 1467157925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729468800000",
"number": "1366262602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 CROSS OAK LN",
"city": "WEST MILFORD",
"state": "NJ",
"postal_code": "074803600",
"telephone_number": "973-897-2969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 PROSPECT ST",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070172889",
"telephone_number": "973-897-2969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KMED MEDICAL SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-11",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A",
"authorized_official_last_name": "HINDS",
"authorized_official_first_name": "KEARY",
"authorized_official_middle_name": "RO-HAN",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "973-897-2969",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.