Donna M Koby

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00936000 Issued in NJ

Practice address

1857 Cable Dr
Toms River, NJ 08753-3124

Phone

(908) 405-2117

NPI assigned

Jul 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• D Koby Inc

  • Adult Mental Health Clinic/Center
  • Forked River, NJ
  • NPI 1396416715
  Medicare reassignment NPD Authorized official
• Serenity Palliative Care Services

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Bordentown, NJ
  • NPI 1609428440
  Medicare reassignment NPD

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1639722242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 CABLE DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533124",
            "telephone_number": "908-405-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 CABLE DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533124",
            "telephone_number": "908-405-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBY",
        "first_name": "DONNA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00936000",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00936000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KM Therapy LLC
• Courtney Leigh Brown Knieriem, MD
• Ryan Austin Knipe, DO
• Cassie Knoblock, LCSW
• Hannah M Knueppel
• Cathleen Jill Kocubinski, MPT
• Issam Koleilat, M.D.
• Melissa Koller
• Henry Kong, M.D.
• Kool Medical Supplies

• Psychiatric/Mental Health Nurse Practitioner in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.