Active NPI
Kerry Stroud
- Family Nurse Practitioner
- Freehold, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00860400
- Practice address
- 901 W Main St
Freehold, NJ 07728-2537 - Phone
- (732) 431-2000
- NPI assigned
- Nov 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00860400 | NJ | Primary |
Addresses
Primary practice location
901 W Main St
Freehold, NJ 07728-2537
Mailing address
696 Harmony Rd
Jackson, NJ 08527-4343
Phone (917) 673-8184
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26NJ00860400 | Medicaid | NJ |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 W Main St
Freehold, NJ 07728-2537
Phone (973) 831-5000
Hospital & facility affiliations
- Centrastate Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centrastate Specialists, P.C. | Current | Accepting new patients | |
| Holmdel Physician Associates | Current | Accepting new patients | |
| NJ Acute Care Specialists Professional Corporation | Current | Accepting new patients |
Locations
901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666
727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700
1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194
66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051
Interoperability endpoints
- kstroud425637@direct.ahsys.org
Organizations & group practices 3
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.
-
- Hospitalist Physician
- East Orange, NJ
- NPI 1073805917
-
- Nurse Practitioner
- Freehold, NJ
- NPI 1700389301
-
- Hospitalist Physician
- Freehold, NJ
- NPI 1346647328
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Freehold, NJ
- NPI 1295718450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542240000000",
"number": "1407325889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "696 HARMONY RD",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085274343",
"telephone_number": "917-673-8184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W MAIN ST",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282537",
"telephone_number": "732-431-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROUD",
"first_name": "KERRY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-15",
"last_updated": "2018-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00860400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "26NJ00860400",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.