Individual provider Active NPI

Jason Andrew Kline, M.D.

  • Nephrology Physician
  • Camden, NJ
National Provider Identifier
1912115296
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MA18416800 Issued in NJ
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

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0078247MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080829000459 NJ Practitioner - Nephrology 9638197437 Reassigns benefits to 2 organizations

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
Cooper Nephrology PCGroup PAC ID 4385905017, 19 clinicians

Practice addresses (Care Compare)

3 Cooper PLZ
Camden, NJ 08103-1438
Phone (856) 667-7266

Hospital & facility affiliations

  • DaVita Merchantville Dialysis Dialysis facility, Pennsauken, NJ, CCN 312685
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA18416800NJMDNephrology Physician
MT179669PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Nephrology, PC Nephrology CurrentSince Jan 1, 2018 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Jul 8, 2008 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.