Individual provider Active NPI

Jatinder Kohli, M.B.B.S.

  • Nephrology Physician
  • Philadelphia, PA
National Provider Identifier
1518224567
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD457877 Issued in PA
Practice address
3400 Spruce St
1 Founders
Philadelphia, PA 19104-4238
Phone
(215) 662-2638
NPI assigned
Apr 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD457877 PA Primary

Addresses

Primary practice location

3400 Spruce St
1 Founders
Philadelphia, PA 19104-4238

Mailing address

3400 Spruce St
1 Founders
Philadelphia, PA 19104-4238
Phone (215) 662-2638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160622000066 PA Practitioner - Nephrology 9739470774 Reassigns benefits to 1 organization
I20180413000240 NJ Practitioner - Nephrology 9739470774 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Specialty Medconsultants LLCGroup PAC ID 3072736677, 20 clinicians
Ea Health - New Jersey LLCGroup PAC ID 6103222039, 37 clinicians

Practice addresses (Care Compare)

6725 Ventnor Ave
Suite C
Ventnor City, NJ 08406-2166
Phone (609) 350-6780

727 N Beers St
Holmdel, NJ 07733-1514
Phone (732) 739-5900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. Nephrology CurrentSince Feb 26, 2018 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2016 Accepting new patients
Ea Health - New Jersey LLC CurrentSince Mar 1, 2023 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Feb 26, 2018 Accepting new patients
University of Penn - Medical Group Nephrology CurrentSince Jul 1, 2016 Accepting new patients
Specialty Medconsultants LLC Nephrology CurrentSince Apr 1, 2020 Accepting new patients
University of Penn-Medical Group Current Accepting new patients

Locations

1865 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 427-4336

415 Chris Gaupp Dr
Ste C
Galloway, NJ 08205
Phone (609) 748-7574

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

1172 Beacon Ave
#B
Manahawkin, NJ 08050
Phone (609) 350-6780

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

6725 Ventnor Ave
Ventnor City, NJ 08406
Phone (609) 350-6780

6725 Ventnor Ave
Ste C
Ventnor City, NJ 08406
Phone (609) 350-6780

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

3400 Spruce St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-3005

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

PO B0x 824320
Philadelphia, PA 19182

Organizations & group practices 7

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 7

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": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1518224567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "1 FOUNDERS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "1 FOUNDERS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLI",
        "first_name": "JATINDER",
        "credential": "M.B.B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD457877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.