Kevin P Norton, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB07762000 Issued in NJ

Practice address

19 W Main St
Suite C
Maple Shade, NJ 08052-2411

Phone

(856) 779-7386

Fax

(856) 773-7563

NPI assigned

Jan 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Prohealth Urgent Care Medicine of New Jersey LLP

  • Emergency Care Clinic/Center
  • Edgewater, NJ
  • NPI 1477927754
  Medicare reassignment NPD

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1760461024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W MAIN ST",
            "address_2": "SUITE C",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080522411",
            "telephone_number": "856-779-7386",
            "fax_number": "856-773-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W MAIN ST",
            "address_2": "SUITE C",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080522411",
            "telephone_number": "856-779-7386",
            "fax_number": "856-773-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTON",
        "first_name": "KEVIN",
        "middle_name": "P",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07762000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0040771",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Muse-Taylor
• Neurological Regional Associates, P.a.
• New Jersey CVS Pharmacy LLC
• New Jersey Mental Health and Nutritional Group LLC
• Faith Niemcewicz, LPC
• Orthocare Pain and Rehabilitation Medicine LLC
• Danelle Parker-Mason, LSW
• Biren Patel
• Stephen E. Paul, D.O.
• Abria Peralta

• Family Medicine Physician in Maple Shade, NJ
• Providers in Maple Shade, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.