Individual provider Active NPI

Ken Kinoshita, MD

  • Family Medicine Physician
  • Newton, NJ
National Provider Identifier
1801059258
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09446100 Issued in NJ
Practice address
238 Spring St
A
Newton, NJ 07860-2115
Phone
(973) 862-6650
NPI assigned
Jul 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036119518 IL
Family Medicine Physician 207Q00000X 25MA09446100 NJ Primary

Addresses

Primary practice location

238 Spring St
A
Newton, NJ 07860-2115

Mailing address

238 Spring St
A
Newton, NJ 07860-2115
Phone (973) 862-6650

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
I20140908002299 NJ Practitioner - Family Practice 3779651245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Zufall Health Center, IncGroup PAC ID 2365448461, 45 clinicians

Practice addresses (Care Compare)

117 Seber Rd BLDG
Hackettstown, NJ 07840-1722
Phone (973) 452-5366

18 W Blackwell St
Dover, NJ 07801-3841
Phone (973) 328-9100

238 Spring St
Newton, NJ 07860-2115
Phone (973) 862-6650

4 Atno Ave
Morristown, NJ 07960-3802
Phone (973) 267-0002

Hospital & facility affiliations

  • Newton Medical Center Hospital, Newton, NJ, CCN 310028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zufall Health Center, Inc CurrentSince Feb 24, 2021 Accepting new patients
Zufall Health Center, Inc CurrentSince Feb 24, 2021 Accepting new patients
Zufall Health Center, Inc Past Accepting new patients
Zufall Health Center,Inc Past Accepting new patients
Summit Oaks Hospital Inc Past Accepting new patients
Ahs Hospital Corp. Past Accepting new patients
Ahs Hospital Corp. Past Accepting new patients
Ahs Hospital Corp Past Accepting new patients
Prime Healthcare Services - Saint Clare'S LLC Past Accepting new patients

Locations

17 S Warren St
#0
Dover, NJ 07801

18 W Blackwell St
Dover, NJ 07801
Phone (973) 328-3344

17 S Warren St
Dover, NJ 07801
Phone (973) 328-3344

238 Spring St
Newton, NJ 07860
Phone (973) 328-9100

238 Spring St
#A
Newton, NJ 07860
Phone (973) 862-6650

95 Northfield Ave
West Orange, NJ 07052
Phone (973) 325-2266

Organizations & group practices 9

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 1

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1801059258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 SPRING ST",
            "address_2": "A",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602115",
            "telephone_number": "973-862-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 SPRING ST",
            "address_2": "A",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602115",
            "telephone_number": "973-862-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINOSHITA",
        "first_name": "KEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036119518",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09446100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

Verify at the official NPI Registry.