Jacqueline M. Kaari, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MB07004300 Issued in NJ

Practice address

82 W Streetsboro St
Hudson, OH 44236-2876

Phone

(330) 344-7650

Fax

(330) 342-4399

NPI assigned

Jan 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: medrecs@deborah.medalliesdirect.net

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.

• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment NPD
• Deborah Heart and Lung Center

  • General Acute Care Hospital
  • Browns Mills, NJ
  • NPI 1467440743
  NPD

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1457321127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 HURFFVILLE CROSSKEYS RD",
            "address_2": "STE. 203",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809340",
            "telephone_number": "856-582-0033",
            "fax_number": "856-582-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 W STREETSBORO ST",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442362876",
            "telephone_number": "330-344-7650",
            "fax_number": "330-342-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAARI",
        "first_name": "JACQUELINE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB07004300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8550701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JG3 Holding Company
• Jo-Ann Stores, LLC
• Steven Lane Johnson, M.D.
• Trevor E Johnson, AA
• Jeremy Jordan
• Keith Kamlowsky, RPH
• Elizabeth Kardamis, LPC, LPAT
• Kimberly Anne Karp, RD, LD, CDE
• Douglas R Kast, D.O.
• Manjinder Kaur, DO

• Pediatrics Physician in Hudson, OH
• Providers in Hudson, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.