Keycare Medical of New Jersey, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KEYCARE MEDICAL OF NEW JERSEY, P.C.

Doing business as

KeyCare Medical Group

Practice address

1713 W. Diversey Pkwy
Suite G
Chicago, IL 60614

Phone

(331) 472-7443

NPI assigned

Jan 25, 2023

Last updated

Jan 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karil Ann Walther, RN

Title

Vice President Practice Operations

Phone

(608) 235-7970

Specialties & licenses 4

Addresses

Other names 1

• KeyCare Medical Group Doing business as

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1518673342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 W TAYLOR ST # 227",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074623",
            "telephone_number": "331-472-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 W. DIVERSEY PKWY",
            "address_2": "SUITE G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60614",
            "telephone_number": "331-472-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYCARE MEDICAL OF NEW JERSEY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "WALTHER",
        "authorized_official_first_name": "KARIL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT PRACTICE OPERATIONS",
        "authorized_official_telephone_number": "608-235-7970",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KeyCare Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Erin Key, LCSW
• Kenya D Key, PSY.D.
• Lebordia Key
• Nicole Key
• Keycare Medical of Kansas, P.a. (KeyCare)
• Keycare Medical, P.a. (KeyCare)
• Casey-John Adrian Keyes, DO
• Rebecca Jayne Keyes, CCC-SLP
• Keys to Care Psychological Services, LLC
• Annette Grace Keys

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.