Individual provider Active NPI

Kathryn Lego Wilkin, RN,APN,C

  • Adult Health Nurse Practitioner
  • Marmora, NJ
National Provider Identifier
1871699256
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00046000 Issued in NJ
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, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100920000441 NJ Practitioner - Nurse Practitioner 3870618424 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Atlanticare Health Services Inc. CurrentSince Oct 17, 2024 Accepting new patients
Atlanticare Health Services, Inc. Current Accepting new patients
Atlanticare Health Services, Inc. CurrentSince Oct 17, 2024 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince Oct 27, 2018 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince Oct 27, 2018 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.

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

Verify at the official NPI Registry.