KND Development 59, LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

KND DEVELOPMENT 59, LLC

Practice address

865 Stone St
Rahway, NJ 07065-2742

Phone

(732) 453-2950

NPI assigned

Dec 9, 2009

Organization subpart

Yes

Parent organization

KINDRED HEALTHCARE, INCAs reported in NPPES

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

Authorized official

Name

Linda L Fisher, CPA

Title

DVP Revenue Cycle

Phone

(502) 596-7358

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 4506 KH NEW JERSEY RAHWAY Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• KND Development 59, LLC

  • Hospitalist Physician
  • Dover, NJ
  • NPI 1114256989

  O20170420000526

  Same enrollment
• KND Development 59, LLC

  • Hospitalist Physician
  • Passaic, NJ
  • NPI 1538498290

  O20170420000526

  Same enrollment

Tax ID family

KND Development 59 LLC78 organizations share this tax ID, including this one

Part of

Presence Covenant Medical Center

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• KND Development 59, LLC

  • Hospitalist Physician
  • Dover, NJ
  • NPI 1114256989
  NPD tax ID
• KND Development 59, LLC

  • Hospitalist Physician
  • Passaic, NJ
  • NPI 1538498290
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Nussbaum, APRN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Englewood, NJ
  • NPI 1215229596
  NPD

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1417286162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-7358",
            "fax_number": "833-501-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 STONE ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652742",
            "telephone_number": "732-453-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KND DEVELOPMENT 59, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINDRED HEALTHCARE, INC",
        "enumeration_date": "2009-12-09",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DVP REVENUE CYCLE",
        "authorized_official_telephone_number": "502-596-7358",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "569251",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4506 KH NEW JERSEY RAHWAY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "4506 KH NEW JERSEY RAHWAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Taj G Khan, D.O.
• Philip J Kierstedt II, CASAC
• Ji Young Kim
• Kil Hwan Kim, L.AC
• Kindred Hospitals East, LLC
• Jusnimrat Kohli, DO
• Akshita Kota, RPH
• Robert J Kovacs Sr., DC
• Stephen George Kowalski Jr., ATC
• Zinovy Kozlov, M.D.

• Hospitalist Physician in Rahway, NJ
• Providers in Rahway, NJ by specialty
• Hospitalist Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.