Active NPI
Kenneth Remsen, MD
- Facial Plastic Surgery Physician
- Riverdale, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- MA43991
- Practice address
- 51 State RT 23
Floor 2
Riverdale, NJ 07457-1625 - Phone
- (973) 831-1220
- Fax
- (973) 831-0029
- NPI assigned
- Sep 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | MA43991 | NJ | Primary |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | MA43991 | NJ |
Addresses
Primary practice location
51 State RT 23
Floor 2
Riverdale, NJ 07457-1625
Mailing address
51 State RT 23
Floor 2
Riverdale, NJ 07457-1625
Phone (973) 831-1220
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
Hospital & facility affiliations
- Chilton Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA43991 | NJ | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group PA | Current | Accepting new patients | |
| Ear, Nose, Throat and Facial Plastic Surgeons, P.a. | Facial Plastic Surgery | Current | Accepting new patients |
| Summit Medical Group PA | Current | Accepting new patients | |
| Summit Medical Group, Inc | Past | Accepting new patients |
Locations
1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868
150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890
51 State Rt 23
Ste 2
Riverdale, NJ 07457
Phone (973) 831-1220
51 State Rt 23
Riverdale, NJ 07457
Phone (973) 831-1220
Interoperability endpoints
- kenneth.remsen.1@2983.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Berkeley Heights, NJ
- NPI 1942254347
-
- Facial Plastic Surgery Physician
- Riverdale, NJ
- NPI 1558347351
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1043930555
-
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pompton Plains, NJ
- NPI 1811994809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1881688166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 STATE RT 23",
"address_2": "FLOOR 2",
"city": "RIVERDALE",
"state": "NJ",
"postal_code": "074571625",
"telephone_number": "973-831-1220",
"fax_number": "973-831-0029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 STATE RT 23",
"address_2": "FLOOR 2",
"city": "RIVERDALE",
"state": "NJ",
"postal_code": "074571625",
"telephone_number": "973-831-1220",
"fax_number": "973-831-0029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMSEN",
"first_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-01",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NJ",
"license": "MA43991",
"primary": true
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "NJ",
"license": "MA43991",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.