Active NPI
Kenneth W Ordene, MD
- Endocrinology, Diabetes & Metabolism Physician
- Freehold, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MA040391
- Practice address
- 501 Iron Bridge Road
Suite 12
Freehold, NJ 07728 - Phone
- (732) 780-0002
- Fax
- (732) 308-0117
- NPI assigned
- Sep 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MA040391 | NJ | Primary |
Addresses
Primary practice location
501 Iron Bridge Road
Suite 12
Freehold, NJ 07728
Mailing address
501 Iron Bridge Road
Suite 12
Freehold, NJ 07728
Phone (732) 780-0002
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3162109 | Medicaid | NJ | |
| 6159202 | Other | CIGNA | |
| 76A38 | Other | EMPIRE | |
| 4058855 | Other | AETNA | |
| VS120 | Other | NJ | OXFORD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051024000452 | NJ | Practitioner - Endocrinology | 4789600222 |
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
501 Iron Bridge Rd
Suite 12
Freehold, NJ 07728-5304
501 Iron Bridge Rd
Suite 12
Freehold, NJ 07728-5305
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA040391 | NJ | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth W Ordene | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endocrinology, Diabetes & Metabolism Physician
- Freehold, NJ
- NPI 1821256470
-
dba Endocrinology Associates of Central NJ
- Endocrinology, Diabetes & Metabolism Physician
- Freehold, NJ
- NPI 1427235472
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Freehold, NJ
- NPI 1295718450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750472205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 IRON BRIDGE ROAD",
"address_2": "SUITE 12",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "07728",
"telephone_number": "732-780-0002",
"fax_number": "732-308-0117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 IRON BRIDGE ROAD",
"address_2": "SUITE 12",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "07728",
"telephone_number": "732-780-0002",
"fax_number": "732-308-0117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORDENE",
"first_name": "KENNETH",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NJ",
"license": "MA040391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3162109",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6159202",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE",
"identifier": "76A38",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4058855",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "VS120",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.