Individual provider Active NPI

Marie F Rodolphe-Kahiu, NP

  • Gerontology Nurse Practitioner
  • West Orange, NJ
National Provider Identifier
1699325258
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ00961200 Issued in NJ
Practice address
9 Beasley St
West Orange, NJ 07052-2901
Phone
(973) 896-7550
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ00961200 NJ Primary

Addresses

Primary practice location

9 Beasley St
West Orange, NJ 07052-2901

Mailing address

9 Beasley St
West Orange, NJ 07052-2901
Phone (973) 896-7550

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200407002343 NJ Practitioner - Nurse Practitioner 7113356445 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Jan 13, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 13, 2024 Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

Organizations & group practices 2

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1699325258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BEASLEY ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522901",
            "telephone_number": "973-896-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BEASLEY ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522901",
            "telephone_number": "973-896-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODOLPHE-KAHIU",
        "first_name": "MARIE",
        "middle_name": "F",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00961200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.