Individual provider Active NPI

Karen Lesley Birmingham, M.D.

  • Plastic Surgery Physician
  • Marmora, NJ
National Provider Identifier
1851483010
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA07419800 Issued in NJ
Practice address
110 Roosevelt Blvd
Suite 2B
Marmora, NJ 08223-1403
Phone
(609) 390-2404
Fax
(609) 390-2644
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25MA07419800 NJ Primary

Addresses

Primary practice location

110 Roosevelt Blvd
Suite 2B
Marmora, NJ 08223-1403

Mailing address

110 Roosevelt Blvd
Suite 2B
Marmora, NJ 08223-1403
Phone (609) 390-2404

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
I20051011000095 NJ Practitioner - Plastic and Reconstructive SurgeryPractitioner - Family PracticePractitioner - Peripheral Vascular Disease 5395760219 Practice locations: Marmora, NJ

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Hahnemann University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Roosevelt Blvd
Marmora, NJ 08223-1403

110 Roosevelt Blvd
Suite 2B
Marmora, NJ 08223-1446
Phone (609) 390-2404

Hospital & facility affiliations

  • Atlanticare Regional Medical Center - City Campus Hospital, Atlantic City, NJ, CCN 310064

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1851483010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ROOSEVELT BLVD",
            "address_2": "SUITE 2B",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231403",
            "telephone_number": "609-390-2404",
            "fax_number": "609-390-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ROOSEVELT BLVD",
            "address_2": "SUITE 2B",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231403",
            "telephone_number": "609-390-2404",
            "fax_number": "609-390-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRMINGHAM",
        "first_name": "KAREN",
        "middle_name": "LESLEY",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA07419800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marmora, NJ

Sources for this page

Verify at the official NPI Registry.