NPIMap

Individual provider Active NPI

Kenneth B Harris, MD

  • Cardiovascular Disease Physician
  • Neptune, NJ
National Provider Identifier
1861492027
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA07377200 Issued in NJ
Practice address
444 Neptune Blvd
Neptune, NJ 07753-4144
Phone
(732) 775-5300
Fax
(732) 775-1737
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA07377200 NJ Primary

Addresses

Primary practice location

444 Neptune Blvd
Neptune, NJ 07753-4144

Mailing address

444 Neptune Blvd
Neptune, NJ 07753-4144
Phone (732) 775-5300

Other identifiers 9

IdentifierTypeStateIssuer
1034358OtherNJMERCY HEALTH
2227377OtherNJUNITED HEALTHCARE
8880000MedicaidNJ
P2654381OtherNJOXFORD
110236137OtherNJRAILROAD MEDICARE
2945805OtherNJAETNA
2K2616OtherNJHEALTH NET
501P31OtherNJEMPIRE BLUE CROSS
9149071103OtherNJCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050321000671 NJ Practitioner - Cardiovascular Disease (Cardiology) 7719959899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of Ny Upstate Medical University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meridian Cardiovascular Interpretive Services PCGroup PAC ID 8527012236, 60 clinicians
Atlantic Cardiology LLCGroup PAC ID 3274505359, 11 clinicians

Practice addresses (Care Compare)

1945 Route 33
Neptune, NJ 07754-4859

444 Neptune Blvd
Neptune, NJ 07753-4144
Phone 7327755300141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.88 of 100Reported as group
Quality
74.22
Improvement activities
40
Cost
70.63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Imaging Inc CurrentSince Mar 15, 2013 Accepting new patients
Meridian Cardiovascular Interpretive Services PC Cardiovascular Disease CurrentSince Jan 1, 2005 Accepting new patients
Atlantic Cardiology LLC Cardiovascular Disease CurrentSince Jul 1, 2002 Accepting new patients

Locations

444 Neptune Blvd
Unit 2
Neptune, NJ 07753
Phone (732) 774-0436

444 Neptune Blvd
Neptune City, NJ 07753
Phone (732) 462-6666

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

Interoperability endpoints

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

Organizations & group practices 3

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 10

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1861492027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NEPTUNE BLVD",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534144",
            "telephone_number": "732-775-5300",
            "fax_number": "732-775-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NEPTUNE BLVD",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534144",
            "telephone_number": "732-775-5300",
            "fax_number": "732-775-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KENNETH",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA07377200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH",
            "identifier": "1034358",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2227377",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8880000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2654381",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110236137",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2945805",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2K2616",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "501P31",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9149071103",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.