Individual provider Active NPI

Kira Feldman, MD

  • Pediatrics Physician
  • Barnegat, NJ
National Provider Identifier
1629071014
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA070970 Issued in NJ
Practice address
249 S Main St
Suite 2
Barnegat, NJ 08005-2301
Phone
(609) 607-1010
Fax
(609) 601-9992
NPI assigned
May 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X MA070970 NJ
Pediatrics Physician 208000000X MA070970 NJ Primary

Addresses

Primary practice location

249 S Main St
Suite 2
Barnegat, NJ 08005-2301

Mailing address

160 Pennsylvania Ave
Barnegat, NJ 08005-2061
Phone (609) 607-0210

Other identifiers 12

IdentifierTypeStateIssuer
23864OtherNJAETNA/USHC HMO PROVIDER #
P2068029OtherNJOXFORD PROVIDER ID #
5845148005OtherNHCIGNA PROVIDER ID #
2010619OtherNJUNITED HEALTH CARE PROV #
60011030OtherNJHORIZON NJ HEALTH PROV. #
202119279100OtherNJQUALCARE PROVIDER ID #
89319OtherNHAMERIGROUP PROVIDER ID #
K5402OtherNJHORIZON BC/BS PROVIDER #
2K5970OtherNJHEALTHNET PROVIDER ID #
7755130OtherNJAETNA/USHC PPO PROVIDER #
2354758001OtherNJAMERIHEALTH PROVIDER ID #
8334200OtherNJUNISYS NUMBER

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210917001518 NJ Practitioner - Pediatric Medicine 6901203926 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA070970NJMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Nov 1, 2021 Accepting new patients
Advocare, LLC Pediatrics CurrentSince Nov 1, 2021 Accepting new patients
Advocare , LLC Past Accepting new patients
Cedar Bridge Pediatrics Pediatrics Past Accepting new patients

Locations

249 S Main St
Ste 2
Barnegat, NJ 08005
Phone (609) 607-1010

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

Interoperability endpoints

  • Direct secure messaging: kira.feldman@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 4

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1629071014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 PENNSYLVANIA AVE",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052061",
            "telephone_number": "609-607-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 S MAIN ST",
            "address_2": "SUITE 2",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052301",
            "telephone_number": "609-607-1010",
            "fax_number": "609-601-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "KIRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "MA070970",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA070970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/USHC HMO PROVIDER #",
            "identifier": "23864",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER ID #",
            "identifier": "P2068029",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER ID #",
            "identifier": "5845148005",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE PROV #",
            "identifier": "2010619",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH PROV. #",
            "identifier": "60011030",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCARE PROVIDER ID #",
            "identifier": "202119279100",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP PROVIDER ID #",
            "identifier": "89319",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BC/BS PROVIDER #",
            "identifier": "K5402",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PROVIDER ID #",
            "identifier": "2K5970",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/USHC PPO PROVIDER #",
            "identifier": "7755130",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PROVIDER ID #",
            "identifier": "2354758001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISYS NUMBER",
            "identifier": "8334200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnegat, NJ

Sources for this page

Verify at the official NPI Registry.