Kathleen Chiong Nepomuceno, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

07561200 Issued in NJ

Practice address

225 Williamson Street
Elizabeth, NJ 07207-3625

Phone

(908) 944-5204

NPI assigned

Jan 27, 2006

Last updated

Apr 25, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 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

Specialty

Anesthesiology

Education

Other, 1983

Medicare assignment

May accept Medicare assignment

Group practices

Professional Anesthesia PhysiciansGroup PAC ID 1658500178, 2 clinicians

Tristate Anesthesia PhysiciansGroup PAC ID 0042627176, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FGAHAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Anesthesia Physicians

  • Anesthesiology Physician
  • Warren, NJ
  • NPI 1215359476
  Medicare reassignment Care Compare group NPD
• Tristate Anesthesia Physicians

  • Anesthesiology Physician
  • Salem, NJ
  • NPI 1316525801
  Medicare reassignment Care Compare group NPD
• Digestive Healthcare Center PA

  • Specialist
  • Hillsborough, NJ
  • NPI 1255318085
  Medicare reassignment NPD
• United Anesthesia Physicians, LLC

  • Anesthesiology Physician
  • Livingston, NJ
  • NPI 1750735536
  Medicare reassignment NPD
• Gastrointestinal and Liver Disease Specialists, LLP

  • Specialist
  • Brooklyn, NY
  • NPI 1376750026
  Medicare reassignment NPD
• Broadway Anesthesia Providers, LLC

  • Anesthesiology Physician
  • Paterson, NJ
  • NPI 1093046179
  NPD (past)
• Dansville Anesthesia & Pain Treatment, PLLC

  • Anesthesiology Physician
  • Dansville, NY
  • NPI 1114950128
  NPD (past)
• Inna Gordin Medical P.C.

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1962635458
  NPD (past)
• JP Medical of Ny PC

  • Legal Medicine
  • Brooklyn, NY
  • NPI 1740433697
  NPD (past)
• Premier Anesthesia and Pain Physicians

  • Anesthesiology Physician
  • Easton, PA
  • NPI 1871024323
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1861463135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SCOTT NIXON MEMORIAL DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WILLIAMSON STREET",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072073625",
            "telephone_number": "908-944-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEPOMUCENO",
        "first_name": "KATHLEEN",
        "middle_name": "CHIONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "07561200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9129901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neighborhood Health Services Corporation (Neighborhood Health Center - Elizabeth)
• Neighbours-Inc
• Nichole Nelson -Kingston
• Natasha Renee Nelson, PHARM D.
• Neo Tech Pharma LLC (Alphacare RX)
• Nes Georgia Inc
• Neurological Associates PA
• New Horizons Adult Supportive Services & Care, Inc.
• New Jersey Arthritis and Back Pain Center, PC.
• New Jersey CVS Pharmacy LLC (CVS Pharmacy 00955)

• Anesthesiology Physician in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.

Verify at the official NPI Registry.