Active NPI
Karen Lesley Birmingham, M.D.
- Plastic Surgery Physician
- Marmora, NJ
National Provider Identifier
1851483010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 25MA07419800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051011000095 | NJ | Practitioner - Plastic and Reconstructive Surgery | 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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal or shaving of skin growth | 1-10 |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.