Active NPI
Jen-Lih Kou, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Hammonton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 25MA06847600
- Practice address
- 301 Spring Garden Rd
Hammonton, NJ 08037-2516 - Phone
- (609) 561-1700
- Fax
- (609) 561-2509
- NPI assigned
- Oct 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 25MA06847600 | NJ | Primary |
Addresses
Primary practice location
301 Spring Garden Rd
Hammonton, NJ 08037-2516
Mailing address
402 Lippincott Dr
Marlton, NJ 08053-4112
Phone (856) 782-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025844C2B | Other | NJ | MEDICARE BILLING NO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- Rutgers New Jersey Medical School, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 Delsea Dr N
Glassboro, NJ 08028-1444
Phone (856) 507-2783
Hospital & facility affiliations
- Holisticare Hospice of New Jersey, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06847600 | NJ | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare , LLC | Current | Accepting new patients | |
| Tri-County Health Connections PC | Current | Accepting new patients | |
| Advocare, LLC | Current | Accepting new patients | |
| Tri-County Health Connections PC | Past | Accepting new patients | |
| Ancora Psychiatric Hospital | Past | Accepting new patients |
Locations
1120 Delsea Dr N
Fl 2
Glassboro, NJ 08028
Phone (856) 595-9136
1120 Delsea Dr N
Fl Second
Glassboro, NJ 08028
1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787
42 E Laurel Rd
Ste 1800
Stratford, NJ 08084
Phone (609) 566-6843
42 E Laurel Rd
Ste 3200
Stratford, NJ 08084
Phone (609) 566-6843
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Glassboro, NJ
- NPI 1124660501
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
- Psychiatric Hospital
- Hammonton, NJ
- NPI 1700180270
-
- Neurology Physician
- Woodbury, NJ
- NPI 1417220310
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Toms River, NJ
- NPI 1528470523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1386731354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 LIPPINCOTT DR",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534112",
"telephone_number": "856-782-3300",
"fax_number": "856-504-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 SPRING GARDEN RD",
"city": "HAMMONTON",
"state": "NJ",
"postal_code": "080372516",
"telephone_number": "609-561-1700",
"fax_number": "609-561-2509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOU",
"first_name": "JEN-LIH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-09",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NJ",
"license": "25MA06847600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE BILLING NO",
"identifier": "025844C2B",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hammonton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.