Individual provider Active NPI

Lynne Becker Kossow, MD

  • Internal Medicine Physician
  • Princeton, NJ
National Provider Identifier
1659390193
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05857200 Issued in NJ
Practice address
731 Alexander Rd Ste 201
Princeton, NJ 08540-6345
Phone
(609) 655-3800
Fax
(866) 912-7741
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05857200 NJ Primary

Addresses

Primary practice location

731 Alexander Rd Ste 201
Princeton, NJ 08540-6345

Mailing address

731 Alexander Rd Ste 201
Princeton, NJ 08540-6345
Phone (609) 655-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

731 Alexander Rd
Princeton, NJ 08540-6345

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05857200NJMDInternal Medicine Physician

Hospital & facility affiliations 3

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644624000000",
    "number": "1659390193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 ALEXANDER RD STE 201",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406345",
            "telephone_number": "609-655-3800",
            "fax_number": "609-655-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 ALEXANDER RD STE 201",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406345",
            "telephone_number": "609-655-3800",
            "fax_number": "866-912-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSOW",
        "first_name": "LYNNE",
        "middle_name": "BECKER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05857200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.