KMC Pathology PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

KMC PATHOLOGY PA

Practice address

600 River Ave
Lakewood, NJ 08701-5237

Phone

(732) 363-1900

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ramesh C Mahapatro, MD

Title

President

Phone

(732) 557-8526

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1770530834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60100",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294190100",
            "telephone_number": "800-503-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015237",
            "telephone_number": "732-363-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMC PATHOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MAHAPATRO",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-557-8526",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0895102000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1K3134",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6804802",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2037958",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esther Elka Kline, BCBA
• Rivkah Klugman, M.A. CCC-SLP
• Rochel Y. Klugman
• Elisheva R. Klugmann
• KMC Eeg Department Group
• Kochvei Ohr Inc
• Freyde Kogel, LCSW
• Samuel Kohl, BCBA
• Esther Kohn, RDN
• Hadassa Kohn, BCBA

• Anatomic Pathology & Clinical Pathology Physician in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Anatomic Pathology & Clinical Pathology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.