Individual provider Active NPI

Kathleen M Porsch, CNM

  • Midwife
  • Manahawkin, NJ
National Provider Identifier
1659349124
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
25ME00032601 Issued in NJ
Practice address
1100 Route 72 W
Suite 305
Manahawkin, NJ 08050-2468
Phone
(609) 978-9841
Fax
(609) 978-9843
NPI assigned
Mar 10, 2006
Last updated
Nov 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 25ME00032601 NJ Primary

Addresses

Primary practice location

1100 Route 72 W
Suite 305
Manahawkin, NJ 08050-2468

Mailing address

1100 Route 72 W
Suite 305
Manahawkin, NJ 08050-2468
Phone (609) 978-9841

Other identifiers 1

IdentifierTypeStateIssuer
8923205MedicaidNJ

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080813000210 NJ Practitioner - Certified Nurse Midwife (CNM) 8820163702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1945 Route 33
Neptune, NJ 07753

3600 Route 66
FL 3
Neptune, NJ 07753

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
25ME00032601NJMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Health Initiatives Inc Current Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Ocean Health Initiatives, Inc CurrentSince Apr 3, 2018 Accepting new patients
Ocean Health Initiatives, Inc. CurrentSince Apr 3, 2018 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

730 Lacey Rd
Ste G8
Forked River, NJ 08731
Phone (609) 693-2000

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

101 2nd St
Lakewood, NJ 08701
Phone (732) 886-4809

279 Mathistown Rd
Little Egg Harbor Twp, NJ 08087
Phone (609) 296-1101

1100 Route 72 W
Ste 305
Manahawkin, NJ 08050
Phone (609) 978-9841

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: kathleen.porsch.1@11915.direct.athenahealth.com
  • Direct secure messaging: kathleen.porsch@direct.hackensackmeridian.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1659349124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ROUTE 72 W",
            "address_2": "SUITE 305",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502468",
            "telephone_number": "609-978-9841",
            "fax_number": "609-978-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ROUTE 72 W",
            "address_2": "SUITE 305",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502468",
            "telephone_number": "609-978-9841",
            "fax_number": "609-978-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORSCH",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NJ",
            "license": "25ME00032601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8923205",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.