Active NPI
Kathleen M Ford
- Adult Health Nurse Practitioner
- Paramus, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP0616362
- Practice address
- 140 E Ridgewood Ave
Paramus, NJ 07652-3917 - Phone
- (615) 610-7705
- Fax
- (833) 464-4086
- NPI assigned
- Jul 27, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP0616362 | PA | Primary |
Addresses
Primary practice location
140 E Ridgewood Ave
Paramus, NJ 07652-3917
Mailing address
558 Oakhollow LN
Lanoka Harbor, NJ 08734-2130
Phone (610) 733-0559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ, FL, DE, MA, DC, GA, MD, CT, ME, SC, VA, LA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 14
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Jacksonville, FL 32256
Phone (855) 212-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP0616362 | PA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monogram Health Professional Services of New Jersey LLC | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, P.C. | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Monogram Health Professional Services of Florida LLC | Current | Accepting new patients | |
| Monogram Health Professional Services of New Mexico LLC | Current | Accepting new patients | |
| Monogram Health Professional Services of Washington DC PC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Past | Accepting new patients |
Locations
2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760
175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452
1200 G St NW
Ste 800
Washington, DC 20005
Phone (202) 630-2519
200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200
4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777
3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167
2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895
300 Baker Ave
Ste 300
Concord, MA 01742
Phone (864) 336-2731
145 W Ostend St
Ste 600
Baltimore, MD 21230
Phone (240) 542-8509
254 Commercial St
Ste 245
Portland, ME 04101
Phone (207) 716-5309
350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779
140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900
5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536
3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300
1650 Market St
Ste 3600
Philadelphia, PA 19103
Phone (484) 557-2367
3400 Civic Center Blvd
#4
Philadelphia, PA 19104
Phone (215) 614-1618
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311
800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867
800 Spruce St
#1
William Penn Annex West, PA 19107
Phone (215) 829-2222
128 Millport Cir
Ste 200
Greenville, SC 29607
Phone (240) 877-9865
5410 Maryland Way
Ste 400
Brentwood, TN 37027
5680 King Centre Dr
Ste 600
Kingstowne, VA 22315
Phone (703) 201-8558
919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904
1253 Canyon Rd
Ste 15
Morgantown, WV 26508
Phone (304) 451-9116
Interoperability endpoints
- kathleen.ford.1@22854.direct.athenahealth.com
Organizations & group practices 14
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.
-
- Nephrology Physician
- Jacksonville, FL
- NPI 1538883111
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1447260435
-
- Nephrology Physician
- Paramus, NJ
- NPI 1578284246
-
- Nephrology Physician
- Washington, DC
- NPI 1962112326
-
- Nephrology Physician
- Brentwood, TN
- NPI 1134739089
CT, DC, MA, MD, ME, PA, SC, VA
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1477658599
-
- Nephrology Physician
- Albuquerque, NM
- NPI 1831804699
-
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1598153603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1861945735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "558 OAKHOLLOW LN",
"city": "LANOKA HARBOR",
"state": "NJ",
"postal_code": "087342130",
"telephone_number": "610-733-0559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 E RIDGEWOOD AVE",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523917",
"telephone_number": "615-610-7705",
"fax_number": "833-464-4086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "KATHLEEN",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-27",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP0616362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
- Alexa Anne Foley, PT, DPT
- David Folk, M.D.
- Foot and Ankle Centre of New Jersey P a
- Foot and Ankle Treatment Center PC PC
- Samantha Forcht
- Tara C Ford, PA-C
- Forest Healthcare Associates, P.C.
- Forest Healthcare Associates, P.C. (Forest Health Associate ASC)
- Forest Healthcare Associates, PC (Forest Hlthcr Pathology Lab)
- Forest Pediatrics, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.