Individual provider Active NPI

Kevin S. White, D.O.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Hackettstown, NJ
National Provider Identifier
1740485887
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
25MB08382200 Issued in NJ
Practice address
108 Bilby Road
Ste 201
Hackettstown, NJ 07840
Phone
(908) 684-3005
Fax
(908) 684-3301
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 25MB08382200 NJ Primary

Addresses

Primary practice location

108 Bilby Road
Ste 201
Hackettstown, NJ 07840

Mailing address

108 Bilby Road
Ste 201
Hackettstow, NJ 07840
Phone (908) 684-3005

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
I20091021000790 NJ Practitioner - Orthopedic Surgery 3678610755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rowan University School of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

108 Bilby Rd
Suite 201
Hackettstown, NJ 07840-4174
Phone (908) 684-3005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as group
Quality
89.4
Promoting interoperability
97
Improvement activities
40
Cost
76.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Sports Medicine and Orthopedic Center LLC CurrentSince Aug 16, 2009 Accepting new patients
North Jersey Sports Medicine & Orthopedic Center, LLC Foot and Ankle Surgery CurrentSince Aug 16, 2009 Accepting new patients
Specialty Surgical Center, LLC PastSince Oct 18, 2016 Accepting new patients

Locations

108 Bilby Rd
Ste 201
Hackettstown, NJ 07840
Phone (908) 684-5646

95 Madison Ave
Ste 101
Morristown, NJ 07960
Phone (973) 267-1010

222 High St
Ste 202
Newton, NJ 07860
Phone (973) 940-0456

711 Route 10 E
Ste 100
Randolph, NJ 07869

376 Lafayette Rd
Ste 202
Sparta, NJ 07871
Phone (908) 684-2480

Interoperability endpoints

  • Direct secure messaging: kwhite@orthopedicnj.medentdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1740485887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BILBY ROAD",
            "address_2": "STE 201",
            "city": "HACKETTSTOW",
            "state": "NJ",
            "postal_code": "07840",
            "telephone_number": "908-684-3005",
            "fax_number": "908-684-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BILBY ROAD",
            "address_2": "STE 201",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "07840",
            "telephone_number": "908-684-3005",
            "fax_number": "908-684-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KEVIN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NJ",
            "license": "25MB08382200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.