Individual provider Active NPI

Jen-Lih Kou, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hammonton, NJ
National Provider Identifier
1386731354
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
25MA06847600 Issued in NJ
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

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
025844C2BOtherNJMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050711000546 NJ Practitioner - Geriatric Medicine 6002842234 Reassigns benefits to 2 organizations

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
Tri-County Health Connections, PCGroup PAC ID 8022271410, 17 clinicians

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 Hospice, Toms River, NJ, CCN 311578

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06847600NJMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Jul 1, 2010 Accepting new patients
Tri-County Health Connections PC CurrentSince Apr 1, 2020 Accepting new patients
Advocare, LLC CurrentSince Jul 1, 2010 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.