Active NPI
Laura Kasper, DO
- Emergency Medicine Physician
- Vineland, NJ
National Provider Identifier
1710098702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MB69076
- Practice address
- 1505 W Sherman Ave
Vineland, NJ 08360-6912 - Phone
- (856) 641-8000
- NPI assigned
- Aug 31, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MB69076 | NJ | Primary |
Addresses
Primary practice location
1505 W Sherman Ave
Vineland, NJ 08360-6912
Mailing address
359 Marshallville Rd
Woodbine, NJ 08270-3324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8139709 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB69076 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Associates of South Jersey P C | Emergency Medicine | Current | Accepting new patients |
Locations
21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000
200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200
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.
-
- Emergency Medicine Physician
- Voorhees, NJ
- NPI 1215965231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710098702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "359 MARSHALLVILLE RD",
"city": "WOODBINE",
"state": "NJ",
"postal_code": "082703324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 W SHERMAN AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083606912",
"telephone_number": "856-641-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASPER",
"first_name": "LAURA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "MB69076",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8139709",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, 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.