Individual provider Active NPI

Kathleena M Cohen

  • Family Nurse Practitioner
  • Westampton, NJ
National Provider Identifier
1609532548
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01228900 Issued in NJ
Practice address
79 Amara Lane
Westampton, NJ 08060
Phone
(609) 346-0137
NPI assigned
Nov 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 26NJ01228900 NJ Primary
Primary Care Clinic/Center 261QP2300X 26NJ01228900 NJ

Addresses

Primary practice location

79 Amara Lane
Westampton, NJ 08060

Mailing address

PO Box 22581
New York, NY 10087-2581
Phone (856) 669-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220119001763 NJ Practitioner - Nurse Practitioner 5890187132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HMC-TR LLCGroup PAC ID 8022434232, 2 clinicians

Practice addresses (Care Compare)

202 Route 37 W
Suite 6
Toms River, NJ 08755-8055
Phone (732) 551-3950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01228900NJMDPrimary Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
HMC-TR LLC Single Specialty CurrentSince Jul 19, 2024 Accepting new patients

Locations

404 Creek Crossing Blvd
Hainesport, NJ 08036
Phone (609) 845-3988

202 Route 37 W
Ste 5
Toms River, NJ 08755
Phone (732) 244-9068

202 Route 37 W
Ste 6
Toms River, NJ 08755
Phone (732) 503-4373

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1609532548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "856-669-6050",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 AMARA LANE",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "08060",
            "telephone_number": "609-346-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "KATHLEENA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01228900",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "26NJ01228900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westampton, NJ

Sources for this page

Verify at the official NPI Registry.