Individual provider Active NPI

Kristi Marie Neitzel, MD

  • Anesthesiology Physician
  • Stratford, NJ
National Provider Identifier
1801239918
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA10059100 Issued in NJ
Practice address
18 E Laurel Rd
Jefferson Stratford Hospital
Stratford, NJ 08084
Phone
(856) 346-6000
NPI assigned
Apr 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA10059100 NJ Primary

Addresses

Primary practice location

18 E Laurel Rd
Jefferson Stratford Hospital
Stratford, NJ 08084

Mailing address

15000 Midlantic Drive #102
Rancocas Anesthesiology
Mt. Laurel, NJ 08054
Phone (856) 829-9345

Other names 1

  • Kristi Marie Shima Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kneitzel86040@directvirtua.org
Direct Messaging Address kneitzel86040@directvirtua.org

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
I20170508000494 NJ Practitioner - Anesthesiology 9234360090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

175 Madison Ave
Mount Holly, NJ 08060-2038

218 Sunset Rd
FL 5
Willingboro, NJ 08046-1110
Phone (609) 444-0359

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Sep 30, 2023 Accepting new patients
Virtua Medical Group, PA Anesthesiology CurrentSince Sep 30, 2023 Accepting new patients
Morris Anesthesia Group, PA Anesthesiology PastSince Mar 20, 2022 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

175 Madison Ave
Fl 1
Mount Holly, NJ 08060
Phone (609) 914-6000

218 Sunset Rd
Fl 2
Willingboro, NJ 08046
Phone (609) 444-0599

218A Sunset Rd
Willingboro, NJ 08046
Phone (609) 835-2900

218 Sunset Rd
Willingboro, NJ 08046
Phone (609) 835-2900

Organizations & group practices 3

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 3

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1801239918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 MIDLANTIC DRIVE #102",
            "address_2": "RANCOCAS ANESTHESIOLOGY",
            "city": "MT. LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-829-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E LAUREL RD",
            "address_2": "JEFFERSON STRATFORD HOSPITAL",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "08084",
            "telephone_number": "856-346-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEITZEL",
        "first_name": "KRISTI",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA10059100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kneitzel86040@directvirtua.org",
            "affiliation": "N",
            "address_1": "175 Madison Ave Fl 1",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080602099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kneitzel86040@directvirtua.org",
            "affiliation": "N",
            "address_1": "218 Sunset Rd Fl 2",
            "city": "Willingboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080461110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "SHIMA",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stratford, NJ

Sources for this page

Verify at the official NPI Registry.