Individual provider Active NPI

Kathleen Kilcoyne, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Denville, NJ
National Provider Identifier
1639335862
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00164500 Issued in NJ
Practice address
50 Morris Ave
Denville, NJ 07834-1735
Phone
(973) 625-7009
NPI assigned
Aug 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00164500 NJ Primary

Addresses

Primary practice location

50 Morris Ave
Denville, NJ 07834-1735

Mailing address

50 Morris Ave
Denville, NJ 07834-1735
Phone (973) 625-7009

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
I20100112000408 NJ Practitioner - Nurse Practitioner 3476694571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

55 Newton Sparta Rd
Suite 104
Newton, NJ 07860-2772
Phone (973) 579-9394

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Behavioral Counseling of Northern New Jersey LLC CurrentSince Jan 12, 2018 Accepting new patients

Locations

55 Newton Sparta Rd
Ste 104
Newton, NJ 07860
Phone (973) 383-0908

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": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1639335862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MORRIS AVE",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341735",
            "telephone_number": "973-625-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MORRIS AVE",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341735",
            "telephone_number": "973-625-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILCOYNE",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00164500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.