Individual provider Active NPI

Ivdeep Kaur, APN

  • Family Nurse Practitioner
  • Hainesport, NJ
National Provider Identifier
1477239242
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14866500 Issued in NJ
Practice address
1261 Route 38 Suite a
Hainesport, NJ 08036
Phone
(856) 222-1975
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ14866500 NJ Primary

Addresses

Primary practice location

1261 Route 38 Suite a
Hainesport, NJ 08036

Mailing address

1261 Route 38 Suite a
Hainesport, NJ 08036
Phone (856) 222-1975

Other practice location 1

1900 Mount Holly Road, Suite 4D
Burlington Township, NJ 08016
Phone (856) 222-1975

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230823001177 NJ Practitioner - Nurse Practitioner 1052774114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Center for Kidney Care, PCGroup PAC ID 3577549666, 13 clinicians

Practice addresses (Care Compare)

1261 Route 38
Suite a
Hainesport, NJ 08036-2702
Phone (856) 222-1975

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ14866500NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Kidney Care, P.C. CurrentSince Aug 1, 2023 Accepting new patients
Haddon Renal Medical Specialists, PA Past Accepting new patients

Locations

1900 Mount Holly Rd
Ste 4
Burlington, NJ 08016

1900 Mount Holly Rd
Ste 4D
Burlington Township, NJ 08016
Phone (856) 222-1975

1261 Route 38
#A
Hainesport, NJ 08036
Phone (856) 222-1975

1542 Kuser Rd
Ste B3
Trenton, NJ 08619
Phone (609) 585-1800

Interoperability endpoints

  • Direct secure messaging: ikaur35739@direct.davitaphysiciansolutions.com

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.

Hospital & facility affiliations 2

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1477239242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 ROUTE 38 SUITE A",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "08036",
            "telephone_number": "856-222-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 ROUTE 38 SUITE A",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "08036",
            "telephone_number": "856-222-1975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Mount Holly Road, Suite 4D",
            "address_purpose": "LOCATION",
            "city": "Burlington Township",
            "state": "NJ",
            "postal_code": "08016",
            "country_code": "US",
            "telephone_number": "856-222-1975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "IVDEEP",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14866500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hainesport, NJ

Sources for this page

Verify at the official NPI Registry.