Active NPI
Kimberly Susan Schad, M.S., CNM
- Advanced Practice Midwife
- Hackettstown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 25ME00026401
- Practice address
- 653 Willow Grove St
Suite 2200
Hackettstown, NJ 07840-1732 - Phone
- (908) 852-7770
- Fax
- (908) 852-7755
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 25ME00026401 | NJ | Primary |
Addresses
Primary practice location
653 Willow Grove St
Suite 2200
Hackettstown, NJ 07840-1732
Mailing address
9 Hemlock Rd
Columbia, NJ 07832-2619
Phone (908) 496-8567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8022208 | Medicaid | NJ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25ME00026401 | NJ | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline Medical Associates, LLC | Current | Accepting new patients |
Locations
16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935
653 Willow Grove St
Ste 2200
Hackettstown, NJ 07840
Phone (908) 441-1404
653 Willow Grove St
Ste 2000
Hackettstown, NJ 07840
Phone (908) 522-5120
108 Bilby Rd
Ste 303
Hackettstown, NJ 07840
Phone (908) 850-9548
99 Cherry Hill Rd
Ste 220
Parsippany, NJ 07054
Phone (973) 316-6763
Interoperability endpoints
- kim.schad.1@27010.direct.athenahealth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Florham Park, NJ
- NPI 1821041617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669400461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 HEMLOCK RD",
"city": "COLUMBIA",
"state": "NJ",
"postal_code": "078322619",
"telephone_number": "908-496-8567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 WILLOW GROVE ST",
"address_2": "SUITE 2200",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078401732",
"telephone_number": "908-852-7770",
"fax_number": "908-852-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAD",
"first_name": "KIMBERLY",
"middle_name": "SUSAN",
"credential": "M.S., CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NJ",
"license": "25ME00026401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8022208",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hackettstown, NJ
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.