Individual provider Active NPI

Kathryn Elizabeth Grant, CPNP-PC

  • Pediatric Nurse Practitioner
  • Summit, NJ
National Provider Identifier
1811406200
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ00785700 Issued in NJ
Practice address
33 Overlook Rd Ste 101
Summit, NJ 07901-3537
Phone
(908) 273-1112
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN661249 PA
Registered Nurse 163W00000X 6910251 NY
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 26NR1982430 NJ
Pediatric Nurse Practitioner 363LP0200X F382803 NY
Pediatric Nurse Practitioner 363LP0200X SP018597 PA
Pediatric Nurse Practitioner 363LP0200X 26NJ00785700 NJ Primary

Addresses

Primary practice location

33 Overlook Rd Ste 101
Summit, NJ 07901-3537

Mailing address

401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Phone (908) 273-1112

Other practice location 1

804 W Park Ave Bldg B
Ocean, NJ 07712-7272
Phone (732) 531-0010

Other practice location 2

219 Taylors Mills Rd
Manalapan, NJ 07726-3255
Phone (732) 577-9643

Other practice location 3

921 E County Line Rd
Lakewood, NJ 08701-2063
Phone (732) 370-5550

Other names 1

  • Kathryn Elizabeth Magargee Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180423000155 NJ Practitioner - Nurse Practitioner 8022371285 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR1982430NJMDRegistered Nurse
6910251NYMDRegistered Nurse
RN661249PAMDRegistered Nurse
F382803NYMDPediatric Nurse Practitioner
SP018597PAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Single Specialty CurrentSince Aug 11, 2021 Accepting new patients
Barnabas Health Medical Group PC Single Specialty CurrentSince Oct 2, 2021 Accepting new patients
Advocare , LLC Single Specialty CurrentSince Aug 11, 2021 Accepting new patients
Barnabas Health Medical Group, PC Single Specialty CurrentSince Mar 13, 2018 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 2, 2021 Accepting new patients
Advocare, LLC Single Specialty Past Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

921 E County Line Rd
Lakewood, NJ 08701
Phone (732) 370-8500

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

219 Taylors Mills Rd
Manalapan, NJ 07726
Phone (732) 780-7650

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

804 W Park Ave
Bldg B
Ocean, NJ 07712
Phone (732) 493-4100

33 Overlook Rd
Ste 101
Summit, NJ 07901
Phone (908) 273-1112

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • Direct secure messaging: kathryn.magargee@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1811406200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N STE 320",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533426",
            "telephone_number": "908-273-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK RD STE 101",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013537",
            "telephone_number": "908-273-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 W Park Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Ocean",
            "state": "NJ",
            "postal_code": "077127272",
            "country_code": "US",
            "telephone_number": "732-531-0010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 Taylors Mills Rd",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077263255",
            "country_code": "US",
            "telephone_number": "732-577-9643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "921 E County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087012063",
            "country_code": "US",
            "telephone_number": "732-370-5550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN661249",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "6910251",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR1982430",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F382803",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP018597",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00785700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "MAGARGEE",
            "middle_name": "ELIZABETH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.