Individual provider Active NPI

Adam Kunkis, MD, MBA

  • Family Medicine Physician
  • Kinnelon, NJ
National Provider Identifier
1790216588
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA10706100 Issued in NJ
Practice address
170 Kinnelon Rd RM 28
Kinnelon, NJ 07405-2351
Phone
(973) 838-1717
Fax
(973) 838-1775
NPI assigned
Mar 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) Physician 207QA0000X 25MA10706100 NJ
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 25MA10706100 NJ Primary

Addresses

Primary practice location

170 Kinnelon Rd RM 28
Kinnelon, NJ 07405-2351

Mailing address

PO Box 95000 LB#7550
Philadelphia, PA 19195-7550
Phone (844) 362-1735

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
I20200917001016 NJ Practitioner - Family Practice 8325397102 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Partners LLCGroup PAC ID 2860665809, 74 clinicians

Practice addresses (Care Compare)

170 Kinnelon Rd
RM 28
Kinnelon, NJ 07405-2351
Phone (973) 838-1717

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Clifton, NJ, CCN 317017
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Dec 1, 2021 Accepting new patients
Primary Care Partners, LLC CurrentSince Mar 1, 2024 Accepting new patients
Doctors Office of New Jersey, LLC CurrentSince Oct 16, 2023 Accepting new patients
Primary Care Partners, LLC Family Medicine Current Accepting new patients
Primary Care Partners, LLC CurrentSince Mar 1, 2024 Accepting new patients
Excel Urgent Care of Paramus LLC CurrentSince Jan 1, 2023 Accepting new patients
Valley Physician Services PC CurrentSince Aug 31, 2020 Accepting new patients
Doctor'S Office of West Caldwell LLC CurrentSince Jan 1, 2023 Accepting new patients
The Radiology Group of New Jersey, LLC PastSince Jan 1, 2023 Accepting new patients
Primary Care Partners LLC Past Accepting new patients

Locations

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

170 Kinnelon Rd
Rm 28
Kinnelon, NJ 07405
Phone (973) 838-1717

415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363

85 Godwin Ave
Midland Park, NJ 07432
Phone (201) 639-8870

475 South St
Morristown, NJ 07960
Phone (973) 660-3166

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

110 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 265-9500

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

556 Passaic Ave
West Caldwell, NJ 07006
Phone (973) 808-2273

484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

Interoperability endpoints

  • Direct secure messaging: akunkis511748@direct.ahsys.org

Organizations & group practices 10

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 4

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1790216588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000 LB#7550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957550",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 KINNELON RD RM 28",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052351",
            "telephone_number": "973-838-1717",
            "fax_number": "973-838-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNKIS",
        "first_name": "ADAM",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA10706100",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10706100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinnelon, NJ

Sources for this page

Verify at the official NPI Registry.