Individual provider Active NPI

Kacie Kochka, NP

  • Nurse Practitioner
  • Nutley, NJ
National Provider Identifier
1740016633
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ15123500 Issued in NJ
Practice address
88 Park Ave Ste 2a
Nutley, NJ 07110-3500
Phone
(973) 434-1402
NPI assigned
Sep 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ15123500 NJ Primary

Addresses

Primary practice location

88 Park Ave Ste 2a
Nutley, NJ 07110-3500

Mailing address

88 Park Ave Ste 2a
Nutley, NJ 07110-3500

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
I20241126004508 NJ Practitioner - Nurse Practitioner 5890220917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

88 Park Ave
Suite 2a
Nutley, NJ 07110-3500
Phone (973) 571-2121

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology, PC CurrentSince Sep 13, 2024 Accepting new patients

Locations

4 Paragon Way
Ste 300
Freehold, NJ 07728
Phone (732) 462-9800

2 Hudson Pl
Ste 101
Hoboken, NJ 07030
Phone (201) 731-4240

315 E Northfield Rd
Ste 2A
Livingston, NJ 07039
Phone (973) 535-3200

201 S Livingston Ave
Ste 1F
Livingston, NJ 07039
Phone (973) 975-2208

712 E Bay Ave
Ste 18
Manahawkin, NJ 08050

88 Park Ave
Ste 2A
Nutley, NJ 07110
Phone (973) 434-1402

88 Park Ave
Ste 1B
Nutley, NJ 07110

Organizations & group practices 1

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": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1740016633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 PARK AVE STE 2A",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 PARK AVE STE 2A",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103500",
            "telephone_number": "973-434-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHKA",
        "first_name": "KACIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15123500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

Verify at the official NPI Registry.