Organization Active NPI

Kivo Medical NJ, PC

  • Pulmonary Disease Physician
  • Toms River, NJ
National Provider Identifier
1669184974
Registry record updated Mar 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
KIVO MEDICAL NJ, PC
Practice address
1400 Hooper Ave Ste 2
Toms River, NJ 08753-2981
Phone
(707) 512-9401
Fax
(866) 767-5649
NPI assigned
Dec 19, 2022
Last updated
Mar 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2025

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

Authorized official

Name
Dr. Jonathan Hinds, MDNPI 1134564222
Title
Owner
Phone
(561) 289-7729

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

1400 Hooper Ave Ste 2
Toms River, NJ 08753-2981

Mailing address

548 Market St
PMB 91917
San Francisco, CA 94104
Phone (707) 512-9401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240511000212 OH Part B Supplier - Clinic/Group Practice 0446617096 Receives reassigned benefits from 1 practitioner
Practice locations: Shaker Heights, OH
O20240529002602 NY Part B Supplier - Clinic/Group Practice 0446617096 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

888 Veterans Memorial Hwy
Hauppauge, NY 11788
Phone (631) 232-6030

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741478400000",
    "number": "1669184974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 MARKET ST",
            "address_2": "PMB 91917",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94104",
            "telephone_number": "707-512-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HOOPER AVE STE 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532981",
            "telephone_number": "707-512-9401",
            "fax_number": "866-767-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIVO MEDICAL NJ, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2025-03-09",
        "certification_date": "2025-03-09",
        "status": "A",
        "authorized_official_last_name": "HINDS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-289-7729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.