Individual provider Active NPI

Kenneth Remsen, MD

  • Facial Plastic Surgery Physician
  • Riverdale, NJ
National Provider Identifier
1881688166
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
MA43991 Issued in NJ
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

Updated by the provider on Apr 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315000924 NJ Practitioner - OtolaryngologyPractitioner - Maxillofacial Surgery 8527119593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Maxillofacial Surgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA43991NJMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Nov 15, 2013 Accepting new patients
Ear, Nose, Throat and Facial Plastic Surgeons, P.a. Facial Plastic Surgery Current Accepting new patients
Summit Medical Group PA CurrentSince Nov 15, 2013 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.