Individual provider Active NPI

Marie Z Kairys, MD

  • Family Medicine Physician
  • Delran, NJ
National Provider Identifier
1841389863
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06202800 Issued in NJ
Practice address
950 S Chester Ave
Delran, NJ 08075-1271
Phone
(856) 536-1515
Fax
(856) 412-5345
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 MD042523L PA
Family Medicine Physician 207Q00000X 25MA06202800 NJ Primary

Addresses

Primary practice location

950 S Chester Ave
Delran, NJ 08075-1271

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

2301 S Broad St
Suite 102
Philadelphia, PA 19148-3542
Phone (215) 952-9100

Other identifiers 7

IdentifierTypeStateIssuer
1435080OtherUNITED HEALTHCARE
1080883OtherHORIZON NJ HEALTH
0531160OtherAETNA
080102247OtherRAIL ROAD MEDICARE
6650708MedicaidNJ
0816759000OtherAMERIHEALTH, KEYSTONE, IBC
19327OtherUNIVERSITY HEALTHPLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101027000181 NJ Practitioner - Family Practice 0345434064 Reassigns benefits to 1 organization
I20160127000078 PA Practitioner - Family Practice 0345434064

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cooper Care Alliance, PCGroup PAC ID 5890110563, 118 clinicians

Practice addresses (Care Compare)

901 Route 168
Suite 210
Turnersville, NJ 08012-3203
Phone (856) 536-1515

950 S Chester Ave
Delran, NJ 08075-1271
Phone (856) 536-1515

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Pennsauken, NJ, CCN 317065
  • Virtua Home Care at West Jersey Home health agency, Marlton, NJ, CCN 317071
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Care Alliance, PC CurrentSince Nov 1, 2023 Accepting new patients
Family Physicians at Burlington Family Medicine Past Accepting new patients

Locations

1816 Route 541
Ste 102
Burlington, NJ 08016
Phone (609) 747-0870

950 S Chester Ave
Delran, NJ 08075
Phone (856) 824-0599

950 S Chester Ave
Ste 100
Delran, NJ 08075

901 Route 168
Ste 210
Turnersville, NJ 08012
Phone (856) 227-1221

Interoperability endpoints

  • Direct secure messaging: mkairys2142@direct.cooperhealth.edu

Organizations & group practices 2

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 8

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1841389863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935",
            "fax_number": "732-790-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S CHESTER AVE",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751271",
            "telephone_number": "856-536-1515",
            "fax_number": "856-412-5345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 S Broad St",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191483542",
            "country_code": "US",
            "telephone_number": "215-952-9100",
            "fax_number": "215-952-7216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAIRYS",
        "first_name": "MARIE",
        "middle_name": "Z",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD042523L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06202800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1435080",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1080883",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0531160",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "080102247",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6650708",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH, KEYSTONE, IBC",
            "identifier": "0816759000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTHPLAN",
            "identifier": "19327",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delran, NJ

Sources for this page

Verify at the official NPI Registry.