Individual provider Active NPI

Michelle Christine Kane, D.O.

  • Family Medicine Physician
  • Sewell, NJ
National Provider Identifier
1740204551
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB07785000 Issued in NJ
Practice address
239 Hurffville Crosskeys Rd
Suite 350
Sewell, NJ 08080-4002
Phone
(856) 341-8181
Fax
(856) 341-8180
NPI assigned
Jul 26, 2006
Last updated
Jun 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB07785000 NJ Primary

Addresses

Primary practice location

239 Hurffville Crosskeys Rd
Suite 350
Sewell, NJ 08080-4002

Mailing address

239 Hurffville Crosskeys Rd
Suite 350
Sewell, NJ 08080-4002
Phone (856) 341-8190

Other identifiers 1

IdentifierTypeStateIssuer
125610MedicaidNJ

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
I20061219000171 NJ Practitioner - Family Practice 6800895962 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jul 1, 2010 Accepting new patients
Partners in Primary Care Inc Family Medicine Past Accepting new patients
Dorfner Family Medicine LLC PastSince Aug 17, 1990 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

811 Sunset Rd
#101
Burlington, NJ 08016
Phone (609) 387-9242

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1740204551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 HURFFVILLE CROSSKEYS RD",
            "address_2": "SUITE 350",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804002",
            "telephone_number": "856-341-8190",
            "fax_number": "856-881-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 HURFFVILLE CROSSKEYS RD",
            "address_2": "SUITE 350",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804002",
            "telephone_number": "856-341-8181",
            "fax_number": "856-341-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "MICHELLE",
        "middle_name": "CHRISTINE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07785000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125610",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.