Active NPI
Kathryn Lego Wilkin, RN,APN,C
- Adult Health Nurse Practitioner
- Marmora, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00046000
- Practice address
- 210 S Shore Rd
Suite 106
Marmora, NJ 08223-1200 - Phone
- (609) 390-7888
- Fax
- (609) 390-2614
- NPI assigned
- Sep 15, 2006
- Last updated
- Mar 30, 2010
- 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 | 26NJ00046000 | NJ | Primary |
Addresses
Primary practice location
210 S Shore Rd
Suite 106
Marmora, NJ 08223-1200
Mailing address
210 Route US 9 S Ste 106
C/O Hope Community Cancer Ctr
Marmora, NJ 08223-1271
Phone (609) 390-7888
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Perelman School of Med at the University of Pennsylvania, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Atlantic Ave
Suite 2600
Atlantic City, NJ 08401-7027
Phone (609) 572-6055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Health Services Inc. | Current | Accepting new patients | |
| Atlanticare Health Services, Inc. | Current | Accepting new patients | |
| Atlanticare Health Services, Inc. | Current | Accepting new patients | |
| Regional Cancer Care Associates LLC | Current | Accepting new patients | |
| Regional Cancer Care Associates LLC | Current | Accepting new patients | |
| Hope Community Cancer Center, LLC | Past | Accepting new patients | |
| Atlanticare Physician Group | Past | Accepting new patients |
Locations
1401 Atlantic Ave
Ste 2600
Atlantic City, NJ 08401
Phone (609) 441-8036
25 Main St
Ste 601
Hackensack, NJ 07601
Phone (201) 510-0910
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
210 Route US 9 S
Ste 106
Marmora, NJ 08223
Phone (609) 390-7888
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
Organizations & group practices 7
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.
-
- Clinic/Center
- Atlantic City, NJ
- NPI 1215987771
-
- Hematology & Oncology Physician
- Toms River, NJ
- NPI 1801850243
-
dba AtlantiCare Mission Health Care Galloway
- Federally Qualified Health Center (FQHC)
- Galloway, NJ
- NPI 1043700495
-
- Federally Qualified Health Center (FQHC)
- Egg Harbor Township, NJ
- NPI 1407617947
-
- Hematology & Oncology Physician
- Belleville, NJ
- NPI 1447315502
-
dba AtlantiCare Internal Medicine
- Primary Care Clinic/Center
- Ventnor City, NJ
- NPI 1194839910
-
- Hematology & Oncology Physician
- Marmora, NJ
- NPI 1114914694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1871699256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 ROUTE US 9 S STE 106",
"address_2": "C/O HOPE COMMUNITY CANCER CTR",
"city": "MARMORA",
"state": "NJ",
"postal_code": "082231271",
"telephone_number": "609-390-7888",
"fax_number": "609-390-2614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S SHORE RD",
"address_2": "SUITE 106",
"city": "MARMORA",
"state": "NJ",
"postal_code": "082231200",
"telephone_number": "609-390-7888",
"fax_number": "609-390-2614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGO WILKIN",
"first_name": "KATHRYN",
"credential": "RN,APN,C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00046000",
"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 Mar 30, 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.