Individual provider Active NPI

Kristen Rainear, D.O.

  • Cardiovascular Disease Physician
  • Vineland, NJ
National Provider Identifier
1689662165
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MB56674 Issued in NJ
Practice address
1076 E Chestnut Ave
Penn Cardiology Vineland
Vineland, NJ 08360-5843
Phone
(856) 692-7979
Fax
(856) 794-9479
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MB56674 NJ Primary

Addresses

Primary practice location

1076 E Chestnut Ave
Penn Cardiology Vineland
Vineland, NJ 08360-5843

Mailing address

1076 E Chestnut Avenue
Penn Cardiology Vineland
Vineland, NJ 08360-5843
Phone (856) 692-7979

Other identifiers 17

IdentifierTypeStateIssuer
005667400OtherNJBLACK LUNG
1539751OtherNJMINEWORKERS
959006OtherNJAMERIHEALTH PPO
959006OtherNJKEYSTONE
J001477OtherNJCHAMPUS
0403613000OtherNJAMERIHEALTH
2K0144OtherNJHEALTH NET
4408498OtherNJAETNA MC
MB56674OtherNJHEALTH PARTNERS
01000308300OtherNJAMERICHOICE
83825OtherNJAMERIGROUP
15572241OtherNJHORIZON
5505607MedicaidNJ
580340OtherNJAETNA
158725OtherNJFIRST HEALTH
1947845OtherNJUNITED HEALTH CARE
P413668OtherNJOXFORD

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617000532 NJ Practitioner - Cardiovascular Disease (Cardiology) 3072597970 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1076 E Chestnut St
Penn Cardiology Vineland Waxman Group
Vineland, NJ 08360-5843
Phone (856) 216-0300

211 S Main St
Suite 205
Cape May Court House, NJ 08210-2264
Phone (609) 463-0800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB56674NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey PC Cardiovascular Disease CurrentSince Nov 1, 2012 Accepting new patients
Community Health Care, Inc. CurrentSince May 1, 2010 Accepting new patients
Community Health Care, Inc. CurrentSince May 1, 2010 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Nov 1, 2012 Accepting new patients
Wachspress & Rainear Cardiology Associates P a Cardiovascular Disease PastSince Jul 1, 1998 Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

211 S Main St
Ste 205
Cape May Court House, NJ 08210
Phone (609) 463-0800

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

3140 Princeton Pike
Fl 2
Lawrenceville, NJ 08648
Phone (609) 895-1919

1076 E Chestnut Ave
Vineland, NJ 08360
Phone (609) 692-7979

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1689662165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 E CHESTNUT AVENUE",
            "address_2": "PENN CARDIOLOGY VINELAND",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605843",
            "telephone_number": "856-692-7979",
            "fax_number": "856-794-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 E CHESTNUT AVE",
            "address_2": "PENN CARDIOLOGY VINELAND",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605843",
            "telephone_number": "856-692-7979",
            "fax_number": "856-794-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINEAR",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MB56674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "005667400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINEWORKERS",
            "identifier": "1539751",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO",
            "identifier": "959006",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "959006",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "J001477",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0403613000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2K0144",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MC",
            "identifier": "4408498",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "MB56674",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01000308300",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "83825",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "15572241",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5505607",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "580340",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "158725",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1947845",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P413668",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.