Individual provider Active NPI

Kathleen Ann Kobberger, R.N.APN.C.

  • Registered Nurse
  • Summit, NJ
National Provider Identifier
1912036260
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
26NR02353700 Issued in NJ
Practice address
7 Union PL
Summit, NJ 07901-3656
Phone
(973) 218-1776
Fax
(908) 522-1995
NPI assigned
Mar 5, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR02353700 NJ Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 26NC02353700 NJ

Addresses

Primary practice location

7 Union PL
Summit, NJ 07901-3656

Mailing address

21 Meadowbrook Rd
Short Hills, NJ 07078-3335
Phone (973) 379-2364

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
I20050808000747 NJ Practitioner - Certified Clinical Nurse Specialist (CNS) 6002845252 Practice locations: Short Hills, NJ

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21 Meadowbrook Rd
Short Hills, NJ 07078-3335
Phone 9732181776810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
26NR02353700NJMDRegistered Nurse
26NC02353700NJMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1912036260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MEADOWBROOK RD",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070783335",
            "telephone_number": "973-379-2364",
            "fax_number": "973-379-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 UNION PL",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013656",
            "telephone_number": "973-218-1776",
            "fax_number": "908-522-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBBERGER",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "R.N.APN.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR02353700",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NC02353700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.