Active NPI
Kathleena M Cohen
- Family Nurse Practitioner
- Westampton, NJ
National Provider Identifier
1609532548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ01228900
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01228900 | NJ | MD | Primary Care Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HMC-TR LLC | Single Specialty | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.