Individual provider Active NPI

Kathleen M Ford

  • Adult Health Nurse Practitioner
  • Paramus, NJ
National Provider Identifier
1861945735
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP0616362 Issued in PA
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

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, AL14 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 14

Enrollment IDStateProvider typePAC IDDetails
I20160927002793 PA Practitioner - Nurse Practitioner 4587951082 Reassigns benefits to 3 organizations
I20220907003205 NJ Practitioner - Nurse Practitioner 4587951082 Reassigns benefits to 2 organizations
I20241016004827 FL Practitioner - Nurse Practitioner 4587951082 Reassigns benefits to 1 organization
I20241121001261 DE Practitioner - Nurse Practitioner 4587951082
I20241211002050 MA Practitioner - Nurse Practitioner 4587951082 Reassigns benefits to 1 organization
I20250113001930 DC Practitioner - Nurse Practitioner 4587951082 Reassigns benefits to 2 organizations
I20250129001297 GA Practitioner - Nurse Practitioner 4587951082 Reassigns benefits to 1 organization
I20250219000926 MD Practitioner - Nurse Practitioner 4587951082 Reassigns benefits to 1 organization
I20250303001581 CT Practitioner - Nurse Practitioner 4587951082 Reassigns benefits to 1 organization
I20250312001881 ME Practitioner - Nurse Practitioner 4587951082 Reassigns benefits to 1 organization
I20260330002527 SC Practitioner - Nurse Practitioner 4587951082 Reassigns benefits to 1 organization
I20260407000612 VA Practitioner - Nurse Practitioner 4587951082 Reassigns benefits to 1 organization
I20260427001600 LA Practitioner - Nurse Practitioner 4587951082 Reassigns benefits to 1 organization
I20260504007165 AL Practitioner - Nurse Practitioner 4587951082 Reassigns benefits to 1 organization

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
Monogram Health Professional Services of Florida LLCGroup PAC ID 0244608149, 41 clinicians

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

LicenseStateTypeSpecialty
SP0616362PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services of New Jersey LLC CurrentSince Apr 16, 2024 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Oct 24, 2022 Accepting new patients
Monogram Health Professional Services PC CurrentSince Jan 7, 2025 Accepting new patients
Monogram Health Professional Services PC CurrentSince May 9, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 21, 2016 Accepting new patients
University of Penn-Medical Group CurrentSince Mar 12, 2018 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Aug 21, 2016 Accepting new patients
Monogram Health Professional Services of Florida LLC CurrentSince Oct 8, 2024 Accepting new patients
Monogram Health Professional Services of New Mexico LLC CurrentSince Jan 1, 2025 Accepting new patients
Monogram Health Professional Services of Washington DC PC CurrentSince Jan 8, 2025 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

  • Direct secure messaging: 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.

View all 14

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

Sources for this page

Verify at the official NPI Registry.