Individual provider Active NPI

Marshall Dean Kinsey, M.D.

  • Gastroenterology Physician
  • Moorestown, NJ
National Provider Identifier
1649446121
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA02490600 Issued in NJ
Practice address
501 New Albany Rd
Moorestown, NJ 08057-1318
Phone
(856) 235-3174
Fax
(856) 802-1721
NPI assigned
May 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA02490600 NJ Primary

Addresses

Primary practice location

501 New Albany Rd
Moorestown, NJ 08057-1318

Mailing address

501 New Albany Rd
Moorestown, NJ 08057-1318
Phone (856) 235-3174

Other identifiers 2

IdentifierTypeStateIssuer
25MA02490600OtherNJNEW JERSEY MEDICAL LICENSE #
D00948000OtherNJNJ CDS #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA02490600NJMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1649446121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NEW ALBANY RD",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571318",
            "telephone_number": "856-235-3174",
            "fax_number": "856-802-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NEW ALBANY RD",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571318",
            "telephone_number": "856-235-3174",
            "fax_number": "856-802-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSEY",
        "first_name": "MARSHALL",
        "middle_name": "DEAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA02490600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY MEDICAL LICENSE #",
            "identifier": "25MA02490600",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ CDS #",
            "identifier": "D00948000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.