Active NPI
Jason Andrew Kline, M.D.
- Nephrology Physician
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MA18416800
- Practice address
- 3 Cooper PLZ
Suite 215
Camden, NJ 08103-1438 - Phone
- (856) 757-7844
- Fax
- (856) 757-7778
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MT179669 | PA | |
| Nephrology Physician | 207RN0300X | MA18416800 | NJ | Primary |
Addresses
Primary practice location
3 Cooper PLZ
Suite 215
Camden, NJ 08103-1438
Mailing address
1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 356-4924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0078247 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3 Cooper PLZ
Camden, NJ 08103-1438
Phone (856) 667-7266
Hospital & facility affiliations
- DaVita Merchantville Dialysis
- Cooper University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA18416800 | NJ | MD | Nephrology Physician |
| MT179669 | PA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Nephrology, PC | Nephrology | Current | Accepting new patients |
| CMC Department of Medicine Group PA | Current | Accepting new patients |
Locations
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439
3 Executive Campus
Fl 2
Cherry Hill, NJ 08002
Phone (856) 356-4920
1030 Kings Hwy N
Ste 310
Cherry Hill, NJ 08034
Phone (856) 667-7266
2339 Route 70 W
Ste 300
Cherry Hill, NJ 08002
Phone (856) 667-7266
5 Route 45
Ste 101
Salem, NJ 08079
Phone (856) 878-1500
196 Grove Ave
Ste C
West Deptford, NJ 08086
Phone (856) 818-7577
Interoperability endpoints
- jkline1878@direct.cooperhealth.edu
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.
-
- Nephrology Physician
- Camden, NJ
- NPI 1083747323
-
- Cardiovascular Disease Physician
- Camden, NJ
- NPI 1609908094
-
- Specialist
- Camden, NJ
- NPI 1386682094
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Pennsauken, NJ
- NPI 1194230441
Dialysis facility
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1912115296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 COOPER PLZ",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031461",
"telephone_number": "856-356-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 COOPER PLZ",
"address_2": "SUITE 215",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031438",
"telephone_number": "856-757-7844",
"fax_number": "856-757-7778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINE",
"first_name": "JASON",
"middle_name": "ANDREW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MT179669",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NJ",
"license": "MA18416800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0078247",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.