Kinnari A Kothari, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA05442400 Issued in NJ

Practice address

1 Britton PL
Suite # 6
Voorhees, NJ 08043-2514

Phone

(856) 772-0700

Fax

(856) 864-0310

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• New Jersey Procare LLC

  • Psychiatry Physician
  • Voorhees, NJ
  • NPI 1316152812
  NPD (past) Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659439644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRITTON PL",
            "address_2": "SUITE # 6",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432514",
            "telephone_number": "856-772-0700",
            "fax_number": "856-864-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRITTON PL",
            "address_2": "SUITE # 6",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432514",
            "telephone_number": "856-772-0700",
            "fax_number": "856-864-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHARI",
        "first_name": "KINNARI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA05442400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "050886",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "202304",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7534730",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3645687",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0445029000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0445029000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genevieve Frances Kopec, PA-C
• Renee Kopec, PHARMD
• Patricia Ann Koper, NURSE PRACTITIONER
• Joshua Kopytko, CRNA
• Jordyn Kossow
• Megha Koul, DO
• Blondina Kovacevic, NP
• Lauren Kostelnik Kovalchik
• Julie Kowalski
• Stephanie Kownacki, COTA

• Psychiatry Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.