Individual provider Active NPI

Kristen Elizabeth Cardamone, DO

  • Physical Medicine & Rehabilitation Physician
  • Florham Park, NJ
National Provider Identifier
1487811055
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MB08560100 Issued in NJ
Practice address
140 Park Ave FL 3
Florham Park, NJ 07932-1049
Phone
(973) 718-5800
Fax
(973) 829-4332
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 236476 NY
Physical Medicine & Rehabilitation Physician 208100000X 25MB08560100 NJ Primary

Addresses

Primary practice location

140 Park Ave FL 3
Florham Park, NJ 07932-1049

Mailing address

140 Park Ave FL 3
Florham Park, NJ 07932-1049
Phone (973) 718-5800

Other identifiers 2

IdentifierTypeStateIssuer
9409384OtherNJAETNA
464611784OtherNJHORIZON BCBS NJ

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
I20090826000408 NJ Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Osteopathic Manipulative MedicinePractitioner - Sports MedicinePractitioner - Pain Management 0547315608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management, Osteopathic Manipulative Medicine, Pain Management, Sports Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1680 Route 23 NRTH
Suite 250
Wayne, NJ 07470-7520

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236476NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Spine Group LLC Physical Medicine & Rehabilitation CurrentSince Sep 16, 2024 Accepting new patients
Spine and Sports Medicine of New York PC Pain Medicine Past Accepting new patients
Galloping Hill Orthopedics, LLC PastSince Sep 4, 2017 Accepting new patients

Locations

10 Madison Ave
Ste 201
Morristown, NJ 07960
Phone (973) 633-1122

1680 State Route 23
Ste 250
Wayne, NJ 07470
Phone (201) 445-9327

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBIDAD

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1487811055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PARK AVE FL 3",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321049",
            "telephone_number": "973-718-5800",
            "fax_number": "973-829-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PARK AVE FL 3",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321049",
            "telephone_number": "973-718-5800",
            "fax_number": "973-829-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDAMONE",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "236476",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB08560100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9409384",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BCBS NJ",
            "identifier": "464611784",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.