Supreet Kaur

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ00838800 Issued in NJ

Practice address

2102 NJ-33
Neptune City, NJ 07753

Phone

(732) 974-0100

Fax

(732) 974-0137

NPI assigned

Aug 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1528546140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 IMPERIAL CT",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077244442",
            "telephone_number": "732-610-6441",
            "fax_number": "732-542-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 NJ-33",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-974-0100",
            "fax_number": "732-974-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "SUPREET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00838800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Joseph
• Yaseen I Kadura, MD
• Patrick Kane
• Thomas Albert Kania, MD
• Diviya Kaul, M.D.
• Catherine Christine Kennedy, MD
• Taham Khan, DO
• Hiba Khanzada, DO
• Adam J Kiernan, MA, LPC
• KMC Associates, in.

• Gerontology Nurse Practitioner in Neptune City, NJ
• Providers in Neptune City, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.