Individual provider Active NPI

Keith Joseph Kuhfahl, D.O.

  • Emergency Medicine Physician
  • Mount Holly, NJ
National Provider Identifier
1609087733
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB08537500 Issued in NJ
Practice address
175 Madison Ave
Emergency Department
Mount Holly, NJ 08060-2038
Phone
(609) 261-7011
NPI assigned
May 24, 2007
Last updated
May 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MB08537500 NJ Primary

Addresses

Primary practice location

175 Madison Ave
Emergency Department
Mount Holly, NJ 08060-2038

Mailing address

1840 Brynmawr Ave
Haddon Heights, NJ 08035-1129
Phone (856) 546-0403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20200505001103 DE Practitioner - Emergency Medicine 0446303945 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08537500NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sussex Emergency Associates LLC Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
South Jersey Emergency Physicians, PA Emergency Medicine Past Accepting new patients
Albert Einstein Healthcare Network Past Accepting new patients

Locations

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

Interoperability endpoints

  • Direct secure messaging: kkuhfahl19292@beebehealth.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1609087733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 BRYNMAWR AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351129",
            "telephone_number": "856-546-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MADISON AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602038",
            "telephone_number": "609-261-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHFAHL",
        "first_name": "KEITH",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB08537500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.