Individual provider Active NPI

Marie Carrier-Kinsley, MD

  • Pediatrics Physician
  • Jenkintown, PA
National Provider Identifier
1891762977
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
001804124 Issued in PA
Practice address
261 Old York Rd
Suite 620
Jenkintown, PA 19046-3706
Phone
(215) 885-8700
Fax
(215) 885-8795
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 001804124 PA Primary

Addresses

Primary practice location

261 Old York Rd
Suite 620
Jenkintown, PA 19046-3706

Mailing address

261 Old York Rd
Suite 620
Jenkintown, PA 19046-3706
Phone (215) 885-8700

Other identifiers 1

IdentifierTypeStateIssuer
0018041240003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001804124PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCHC Pediatric Associates, LLC Pediatrics Past Accepting new patients
PCG Internal Medicine PC PastSince Sep 23, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marie.carrier.kinsley@direct.meditouchehr.com

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1891762977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD",
            "address_2": "SUITE 620",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463706",
            "telephone_number": "215-885-8700",
            "fax_number": "215-885-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD",
            "address_2": "SUITE 620",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463706",
            "telephone_number": "215-885-8700",
            "fax_number": "215-885-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIER-KINSLEY",
        "first_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "001804124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018041240003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.