Individual provider Active NPI

Chana Z Kohn, FNP

  • Family Nurse Practitioner
  • Jackson, NJ
National Provider Identifier
1902572761
Registry record updated Dec 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01195100 Issued in NJ
Practice address
14 Brookwood Pkwy
Jackson, NJ 08527-2104
Phone
(732) 660-5422
Fax
(732) 362-4497
NPI assigned
Aug 20, 2021
Last updated
Dec 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01195100 NJ Primary

Addresses

Primary practice location

14 Brookwood Pkwy
Jackson, NJ 08527-2104

Mailing address

14 Brookwood Pkwy
Jackson, NJ 08527-2104

Other identifiers 1

IdentifierTypeStateIssuer
26NJ01195100OtherNJAPN LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211118000688 NJ Practitioner - Nurse Practitioner 0143619809 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medinmotion LLCGroup PAC ID 4082088828, 2 clinicians

Practice addresses (Care Compare)

88 Whale Pond Rd
Oakhurst, NJ 07755-1270
Phone (732) 660-5422

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatrics Associates of New Jersey LLC CurrentSince Oct 11, 2021 Accepting new patients
Medinmotion LLC CurrentSince Feb 9, 2023 Accepting new patients
Geriatrics Medicine NJ LLC PastSince Oct 1, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733011200000",
    "number": "1902572761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BROOKWOOD PKWY",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BROOKWOOD PKWY",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272104",
            "telephone_number": "732-660-5422",
            "fax_number": "732-362-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHN",
        "first_name": "CHANA",
        "middle_name": "Z",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2024-12-01",
        "certification_date": "2024-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01195100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "26NJ01195100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

Verify at the official NPI Registry.