Individual provider Active NPI

Kinshasa C Morton, MD

  • Family Medicine Physician
  • New Brunswick, NJ
National Provider Identifier
1417157629
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08125600 Issued in NJ
Practice address
317 George St
1St Floor
New Brunswick, NJ 08901-2008
Phone
(732) 235-7828
Fax
(732) 246-7317
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08125600 NJ Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 25MA08125600 NJ

Addresses

Primary practice location

317 George St
1St Floor
New Brunswick, NJ 08901-2008

Mailing address

66 W Gilbert St
2ND Floor
Tinton Falls, NJ 07701-4947
Phone (732) 212-0051

Other identifiers 1

IdentifierTypeStateIssuer
0188999MedicaidNJ

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
I20080415000016 NJ Practitioner - Family Practice 7911084090 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rutgers Health-PCC Monument SquareGroup PAC ID 1052389582, 39 clinicians

Practice addresses (Care Compare)

200 S Orange Ave
Livingston, NJ 07039-5817
Phone (732) 246-7317

317 George St
New Brunswick, NJ 08901-2008
Phone (732) 235-8993

317 George St
Suite 100
New Brunswick, NJ 08901-2047
Phone (732) 235-6200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Feb 1, 2021 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Feb 1, 2021 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Rutgers Health-RWJ Primary Medicine Group Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Feb 1, 2021 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care Past Accepting new patients

Locations

18 Centre Dr
Ste 104
Monroe Township, NJ 08831
Phone (609) 655-5175

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

317 George St
#1S
New Brunswick, NJ 08901
Phone (732) 235-8993

317 George St
Ste 100
New Brunswick, NJ 08901
Phone (732) 235-8993

317 George St
New Brunswick, NJ 08901
Phone (732) 235-7111

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

317 George St
Fl 1
New Brunswick, NJ 08901
Phone (732) 235-7828

125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230

66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

Interoperability endpoints

  • Direct secure messaging: kmorton17936@epicdirect.rwjbh.org

Organizations & group practices 8

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1417157629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W GILBERT ST",
            "address_2": "2ND FLOOR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014947",
            "telephone_number": "732-212-0051",
            "fax_number": "732-212-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 GEORGE ST",
            "address_2": "1ST FLOOR",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012008",
            "telephone_number": "732-235-7828",
            "fax_number": "732-246-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "KINSHASA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08125600",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MA08125600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0188999",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.