Individual provider Active NPI

Kimberly Susan Schad, M.S., CNM

  • Advanced Practice Midwife
  • Hackettstown, NJ
National Provider Identifier
1669400461
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00026401 Issued in NJ
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8022208MedicaidNJ

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
I20160105000079 NJ Practitioner - Certified Nurse Midwife (CNM) 1456653799 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science

State licenses

LicenseStateTypeSpecialty
25ME00026401NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Associates, LLC CurrentSince Nov 1, 2015 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

  • Direct secure messaging: kim.schad.1@27010.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.