Kathleen A Huegel-Capro, ANP
Individual provider Active NPI Nurse Practitioner · Toms River, NJ
NPI 1679565865 · NPPES record last updated Oct 11, 2023
Key facts
- NPI
- 1679565865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 107422 (NJ)
- Practice address
- 9 Hospital Dr Ste B1
Toms River, NJ 08755-6425 - Phone
- (732) 363-7200
- Fax
- (866) 662-4129
- NPI assigned
- Aug 16, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shoremedical5 LLC
Dhiren Gandhi MD LLC
Dhiren Gandhi Family Practice LLC
Shore Medical Specialists
Practice addresses (Care Compare)
1657 Silverton Rd
Toms River, NJ 08753-1400
Phone (732) 363-7200
1750 Route 37 W
Arbors
Toms River, NJ 08757-2345
Phone (732) 363-7200
2018 State Route 35
Spring Lake, NJ 07762-2522
Phone (732) 363-7200
240 Mathistown Rd
Unit 215
Little Egg Harbor TWP, NJ 08087-4062
Phone (609) 294-4232
9 Hospital Dr
Suite B1
Toms River, NJ 08755-6425
Phone (732) 363-7200
Hospital & facility affiliations
- Jersey Shore University Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100414000853 | NJ | Practitioner - Nurse Practitioner | 6507993029 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107422 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dhiren Gandhi Family Practice LLC | Current |
Accepting new patients | |
| Dhiren Gandhi MD LLC | Current |
Accepting new patients | |
| Shore Medical Specialists | Internal Medicine | Current |
Accepting new patients |
| Shoremedical5 LLC | Internal Medicine | Current |
Accepting new patients |
Locations
100 Meridian Pl
Howell, NJ 07731
Phone (732) 677-1046
500 River Ave
Ste 140
Lakewood, NJ 08701
Phone (732) 363-0720
240 Mathistown Rd
Unit 215
Little Egg Harbor Twp, NJ 08087
Phone (609) 294-4232
9 Hospital Dr
Ste B1
Toms River, NJ 08755
Phone (732) 349-2732
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 107422 | NJ | Yes |
Addresses
Primary practice location
9 Hospital Dr Ste B1
Toms River, NJ 08755-6425
Mailing address
9 Hospital Dr Ste B1
Toms River, NJ 08755-6425
Phone (732) 363-7200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7906803 | Medicaid | NJ | |
| 2797003 | Medicaid | NJ | |
| 576878 | Medicaid | NJ |
Other providers in Toms River, NJ
- Kelsey Aline Hotz
- Howard M. Berger, M.D.PA.
- Peter C Howard
- Samuel Fung-Yuen Hu
- Cheryl Anne Hubert
- Elaine M Hughes
- Haillye Hughes
- Timothy Mark Hughes
- Aaron Teng-Hei Hui
- Ahsan Hussain
All providers in Toms River, NJ · Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.