Individual provider Active NPI

John Charles Kulin, DO

  • Emergency Medicine Physician
  • Northfield, NJ
National Provider Identifier
1720024482
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MB58599 Issued in NJ
Practice address
2605 Shore Rd
Northfield, NJ 08225-2136
Phone
(609) 365-5333
Fax
(609) 365-5306
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MB58599 NJ Primary

Addresses

Primary practice location

2605 Shore Rd
Northfield, NJ 08225-2136

Mailing address

1395 Route 539
Little Egg Harbor TWP, NJ 08087-9770
Phone (609) 549-8344

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
I20040817000318 NJ Practitioner - General PracticePractitioner - General SurgeryPractitioner - Emergency Medicine 0749262467 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB58599NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayfront Urgent Care PA CurrentSince Jan 2, 2013 Accepting new patients
Precision Sports Physical Therapy, LLC CurrentSince Feb 25, 2019 Accepting new patients
New Altermatives, LLC Emergency Medicine CurrentSince Mar 26, 2023 Accepting new patients
Summit Medical Group PA PastSince Aug 15, 2015 Accepting new patients
Prompt Urgent Care,PLLC Emergency Medicine PastSince Dec 19, 2017 Accepting new patients
Leeds Emergency Physicians Emergency Medicine Past Accepting new patients
Jersey Shore Sports Medicine PastSince Mar 26, 2023 Accepting new patients

Locations

1395 Route 539
Little Egg Harbor Twp, NJ 08087
Phone (609) 978-0242

2605 Shore Rd
Northfield, NJ 08225
Phone (609) 365-5300

Interoperability endpoints

  • Direct secure messaging: john.kulin.2@4024.direct.athenahealth.com
  • Direct secure messaging: john.kulin.1@4024.direct.athenahealth.com
  • Direct secure messaging: john.kulin.1@1798.direct.athenahealth.com
  • Direct secure messaging: john.kulin.3@4024.direct.athenahealth.com

Organizations & group practices 7

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.

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayfront Urgent Care PA. 12 clinicians

Practice addresses (Care Compare)

2605 Shore Rd
Northfield, NJ 08225-2136
Phone (609) 365-5333

Merit-based Incentive Payment System (MIPS)

Final score
87.91 of 100Reported as group
Quality
83.76
Promoting interoperability
100
Improvement activities
40
Cost
75.94

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1720024482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 ROUTE 539",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080879770",
            "telephone_number": "609-549-8344",
            "fax_number": "609-879-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 SHORE RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082252136",
            "telephone_number": "609-365-5333",
            "fax_number": "609-365-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULIN",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MB58599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

Verify at the official NPI Registry.