Individual provider Active NPI

Kimberly A D'Ambra-Cabry, MD

  • Dermatology Physician
  • Moorestown, NJ
National Provider Identifier
1881619302
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MA65773 Issued in NJ
Practice address
110 Marter Ave Ste 102
Moorestown, NJ 08057-3124
Phone
(856) 235-6565
Fax
(856) 235-6566
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MA65773 NJ Primary

Addresses

Primary practice location

110 Marter Ave Ste 102
Moorestown, NJ 08057-3124

Mailing address

110 Marter Ave Ste 102
Moorestown, NJ 08057-3124
Phone (856) 235-6565

Other practice location 1

702 East Main Street
Triangle Medical Arts Bldg
Moorestown, NJ 08057
Phone (856) 235-6565

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110531000189 NJ Practitioner - Dermatology 1456538453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Temple University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moorestown Dermatology Associates PAGroup PAC ID 9537349550, 8 clinicians

Practice addresses (Care Compare)

110 Marter Ave
Suite 102
Moorestown, NJ 08057-3124
Phone (856) 235-6565

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions559
Removal or shaving of skin growth1-10
Skin biopsy314

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA65773NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moorestown Dermatology Associates PA Dermatology CurrentSince Sep 24, 2001 Accepting new patients
Hudson MD Group PastSince Sep 24, 2001 Accepting new patients

Locations

110 Marter Ave
Ste 102
Moorestown, NJ 08057
Phone (856) 222-4100

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1881619302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE STE 102",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573124",
            "telephone_number": "856-235-6565",
            "fax_number": "856-235-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MARTER AVE STE 102",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573124",
            "telephone_number": "856-235-6565",
            "fax_number": "856-235-6566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 East Main Street",
            "address_2": "Triangle Medical Arts Bldg",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "08057",
            "country_code": "US",
            "telephone_number": "856-235-6565",
            "fax_number": "856-235-6566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'AMBRA-CABRY",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA65773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.