Katherine Park, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

25ME00063900 Issued in NJ

Practice address

165 Route 73
Voorhees, NJ 08043-9526

Phone

(856) 341-8474

NPI assigned

Feb 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

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.

• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  Medicare reassignment Care Compare group NPD
• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696
  Medicare reassignment NPD
• Advocare , LLC

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD
• Virtua Medical Group, PA

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988
  NPD
• Virtua Medical Group, PA

  • Urgent Care Clinic/Center
  • Voorhees, NJ
  • NPI 1912457755
  NPD

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

{
    "created_epoch": "1518825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1558861401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 ROUTE 73",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439526",
            "telephone_number": "856-341-8474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45B Homestead Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NJ",
            "postal_code": "080221004",
            "country_code": "US",
            "telephone_number": "609-324-7424",
            "fax_number": "609-324-7428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8008 Route 130",
            "address_purpose": "LOCATION",
            "city": "Delran",
            "state": "NJ",
            "postal_code": "080751869",
            "country_code": "US",
            "telephone_number": "856-764-0002",
            "fax_number": "856-764-0103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Ark Rd Ste 216",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080543188",
            "country_code": "US",
            "telephone_number": "856-778-2060",
            "fax_number": "856-778-8182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Rev Dr Martin Luther King Jr Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080462852",
            "country_code": "US",
            "telephone_number": "609-871-2060",
            "fax_number": "609-871-3535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "KATHERINE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-17",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00063900",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00063901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpark68604@directvirtua.org",
            "affiliation": "N",
            "address_1": "165 Route 73",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpark68604@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Independence Blvd Ste 100",
            "city": "Sicklerville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080811039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Louis A Papa, D.O.
• Caitlin A Papastamelos, MD
• Cible Mathulla Parayil, M.D.
• Park Your Headache Neurology Physician LLC
• Hannah Park, M.D.
• Soyun Park, RPT
• Jeffrey Clarke Parker, M.D.
• Rachel Parr, PA-C
• Joseph E Parrillo, M.D.
• Deborah Parrish, PTA

• Advanced Practice Midwife in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Advanced Practice Midwife in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.