Anita Kishen, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA08017500 Issued in NJ

Practice address

805 Inman Ave
Colonia, NJ 07067-1433

Phone

(732) 340-0007

NPI assigned

Mar 13, 2007

Last updated

Aug 26, 2009By the provider in NPPES

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

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

Pediatric Medicine

Education

Other, 1994

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: anita.kishenmd@direct.digidms.com
• FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696
  Medicare reassignment
• Anita Kishen MD LLC

  • Pediatrics Physician
  • Colonia, NJ
  • NPI 1457584971
  NPD (past) Authorized official
• Advocare LLC

  dba Advocare Just Kids Pediatrics

  • Pediatrics Physician
  • Colonia, NJ
  • NPI 1053284547
  NPD (past)
• Advocare, LLC

  dba Advocare Merchantville Pediatrics

  • Pediatrics Physician
  • Cherry Hill, NJ
  • NPI 1780696732
  NPD (past)
• HMH Hospitals Corporation

  dba JFK University Medical Center

  • General Acute Care Hospital
  • Edison, NJ
  • NPI 1144894577
  NPD (past)
• Robert Wood Johnson University Hospital, Inc

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1346243375
  NPD (past)
• Saint Peter's University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1114924834
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1407989395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 RAMAPO WAY",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070762319",
            "telephone_number": "908-889-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 INMAN AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070671433",
            "telephone_number": "732-340-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISHEN",
        "first_name": "ANITA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA08017500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johal Medical Enterprises (avenel dental)
• John Burger MD PA
• Joyful Home Care Services, Inc (ComForCare Home Care North-Middlesex County NJ)
• Jaclyn Keane
• Mahnaz Kelliher
• Kitchen Table Counseling, LLC
• Christine Ann Klimm
• William Kovacs, D.C.
• Labyrinth Psychiatry Group LLC
• Lake Family Dentistry PC (Lake Family Dentistry)

• Pediatrics Physician in Colonia, NJ
• Providers in Colonia, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.