Kristyn Phelps, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08422600 Issued in NJ

Practice address

101 2ND St
Lakewood, NJ 08701-3324

Phone

(732) 363-6655

NPI assigned

Jun 27, 2008

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 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

Specialty

Internal Medicine

Education

Temple University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Penn Medicine Home Health Princeton Health Home health agency, Princeton, NJ, CCN 317045
• University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Clinical Health Care Associates of New Jersey, P.C.

  • Family Medicine Physician
  • Cherry Hill, NJ
  • NPI 1447260435

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Princeton Healthcare Affiliated Physicians PC

  • Internal Medicine Physician
  • Plainsboro, NJ
  • NPI 1518194323
  Medicare reassignment NPD
• Clinical Health Care Associates of New Jersey, PC

  • Otolaryngology Physician
  • Hillsborough, NJ
  • NPI 1962977249
  NPD
• Princeton Healthcare Affiliated Physicians PC

  • Family Medicine Physician
  • Robbinsville, NJ
  • NPI 1548604697
  NPD
• Princeton Healthcare Affiliated Physicians PC

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1770176372
  NPD
• Hospital Medicine Associates, P.C.

  • Internal Medicine Physician
  • Livingston, NJ
  • NPI 1831143270
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Princeton Healthcare System, a New Jersey Non-Profit Corporation

  • General Acute Care Hospital
  • Plainsboro, NJ
  • NPI 1689714255
  Care Compare affiliation
• Princeton Healthcare System, a New Jersey Non-Profit Corporation

  • Home Health Agency
  • Princeton, NJ
  • NPI 1760524052
  Care Compare affiliation

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1497917868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 2ND ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013324",
            "telephone_number": "732-363-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 2ND ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013324",
            "telephone_number": "732-363-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "KRISTYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08422600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25MA08422600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared F Pfancook
• Nicole Pfeiffer, CRNP
• Tava Tina Pham
• Pharmacy Center Inc Dba Kings Pharmacy
• Pharmex Pharmacy
• Rosily Philip, APN
• Dvora Phillip
• Samantha Josephine Phillips, AGNP
• Phoenix Medical Associates, LLC
• Nathan Phuzaylof, CM CERTIFIED MOHEL

• Internal Medicine Physician in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.