Individual provider Active NPI

Sheryl Ann Haber-Kuo, MD

  • Internal Medicine Physician
  • Mercerville, NJ
National Provider Identifier
1376507806
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
63867 Issued in NJ
Practice address
2312 Whitehorse Mercerville Rd
Suite #201
Mercerville, NJ 08619-1953
Phone
(609) 586-9566
Fax
(609) 586-9055
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 63867 NJ Primary

Addresses

Primary practice location

2312 Whitehorse Mercerville Rd
Suite #201
Mercerville, NJ 08619-1953

Mailing address

2312 Whitehorse Mercerville Rd
Suite #201
Mercerville, NJ 08619-1953
Phone (609) 586-9566

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050621000312 NJ Practitioner - Internal Medicine 9335184316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Hahnemann University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2312 Whitehorse Mercerville Rd
Suite 201
Mercerville, NJ 08619-1953
Phone (609) 586-9566

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63867NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheryl Haber Kuo MD PC Internal Medicine CurrentSince Feb 1, 2001 Accepting new patients

Locations

2312 Whitehorse Mercerville Rd
Ste 201
Trenton, NJ 08619
Phone (609) 586-9566

Interoperability endpoints

  • Direct secure messaging: sheryl.kuo.1@18395.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18395/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1376507806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE #201",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086191953",
            "telephone_number": "609-586-9566",
            "fax_number": "609-586-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE #201",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086191953",
            "telephone_number": "609-586-9566",
            "fax_number": "609-586-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABER-KUO",
        "first_name": "SHERYL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "63867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercerville, NJ

Sources for this page

Verify at the official NPI Registry.