Kim Donaldson, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25MA071581 Issued in NJ

Practice address

185 Roseberry St
Phillipsburg, NJ 08865-1690

Phone

(908) 859-6700

Fax

(908) 859-6812

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hackettstown Emergency Medical Associates, LLCGroup PAC ID 4688998990, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hackettstown Emergency Medical Associates LLC

  • Emergency Medicine Physician
  • Hackettstown, NJ
  • NPI 1558768473
  Medicare reassignment Care Compare group NPD
• Pegasus Emergency Group PA

  • Emergency Medicine Physician
  • Flemington, NJ
  • NPI 1336179621
  NPD (past)
• Hudson Valley Emergency Medicine PLLC

  • General Practice Physician
  • Poughkeepsie, NY
  • NPI 1093746505
  NPD (past)
• Pegasus Emergency Group Moberly

  • Emergency Medicine Physician
  • Moberly, MO
  • NPI 1144453127
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Hospital Corp

  • General Acute Care Hospital
  • Hackettstown, NJ
  • NPI 1518969419
  Care Compare affiliation

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1366495871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SHADY LN",
            "city": "GLEN GARDNER",
            "state": "NJ",
            "postal_code": "088263009",
            "telephone_number": "908-803-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 ROSEBERRY ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651690",
            "telephone_number": "908-859-6700",
            "fax_number": "908-859-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA071581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0028479",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louise M Diehl, CRNP
• Azanae Diggs-Jackson
• Andrea Diggs
• Dignipath L.L.C
• Amy Marie Domanski, APN
• Angela Lynn Donnelly, PT
• Anthony Thomas Doran III, LCADC
• Ashley Dos Santos
• Dr Mascarenhas Cardiology PC
• Melissa Anne Drozda, PA-C

• Emergency Medicine Physician in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.

Verify at the official NPI Registry.