Active NPI
Kelsey Kluin, APN
- Family Nurse Practitioner
- Brick, NJ
National Provider Identifier
1891366449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ01135800
- Practice address
- 425 Jack Martin Blvd
Brick, NJ 08724-7732 - Phone
- (732) 840-2200
- NPI assigned
- Jul 6, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ01135800 | NJ | Primary |
Addresses
Primary practice location
425 Jack Martin Blvd
Brick, NJ 08724-7732
Mailing address
405 Prosperity CT
Toms River, NJ 08755-1400
Phone (908) 839-5593
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
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 Cooper Rd
Suite 16
Voorhees, NJ 08043-8007
Phone (856) 429-2224
Hospital & facility affiliations
- Moorestown Visiting Nurse Association
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert J Maro MD PA | Current | Accepting new patients | |
| Advanced Spine and Pain, LLC | Past | Accepting new patients | |
| Advanced Spine and Pain LLC | Past | Accepting new patients |
Locations
701 Cooper Rd
Ste 16
Voorhees, NJ 08043
Phone (856) 429-2224
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Cherry Hill, NJ
- NPI 1952342743
-
- Interventional Pain Medicine Physician
- Hammonton, NJ
- NPI 1730359084
-
- Pain Medicine Physician
- Egg Harbor Township, NJ
- NPI 1447885116
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Moorestown, NJ
- NPI 1871391193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1891366449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 PROSPERITY CT",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087551400",
"telephone_number": "908-839-5593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 JACK MARTIN BLVD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247732",
"telephone_number": "732-840-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUIN",
"first_name": "KELSEY",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-06",
"last_updated": "2021-07-06",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ01135800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.