Individual provider Active NPI

Kenneth D. Nahum, D.O.

  • Hematology & Oncology Physician
  • Howell, NJ
National Provider Identifier
1922079904
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MB04108600 Issued in NJ
Practice address
4632 Route 9 S
Howell, NJ 07731-3319
Phone
(732) 367-1535
Fax
(732) 367-9514
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 25MB04108600 NJ Primary

Addresses

Primary practice location

4632 Route 9 S
Howell, NJ 07731-3319

Mailing address

4632 Route 9 S
Howell, NJ 07731-3319
Phone (732) 367-1535

Other identifiers 1

IdentifierTypeStateIssuer
1819500MedicaidNJ

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
I20080811000352 NJ Practitioner - Hematology/Oncology 2264511385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Rowan University School of Osteopathic Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional Cancer Care Associates LLCGroup PAC ID 5294710091, 148 clinicians

Practice addresses (Care Compare)

175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (844) 346-7222

180 White Rd
Little Silver, NJ 07739-1166
Phone (609) 835-2900

218 A Sunset Rd
Willingboro, NJ 08046-1110
Phone (609) 835-2900

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (844) 346-7222

4632 Hwy 9
Howell, NJ 07731-3319
Phone (844) 346-7222

Hospital & facility affiliations

  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
  • Monmouth Medical Center-Southern Campus Hospital, Lakewood, NJ, CCN 310084
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041

Merit-based Incentive Payment System (MIPS)

Final score
89.67 of 100Reported as individual
Quality
78.62
Promoting interoperability
91
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB04108600NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Cancer Care Associates LLC Hematology & Oncology CurrentSince Jan 1, 2012 Accepting new patients
Regional Cancer Care Associates LLC Hematology & Oncology CurrentSince Jan 1, 2012 Accepting new patients

Locations

25 Main St
Ste 601
Hackensack, NJ 07601
Phone (201) 510-0910

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

4632 US Highway 9
Howell, NJ 07731
Phone (732) 367-1535

57 Kent Rd
Howell, NJ 07731
Phone (732) 364-1505

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

19 Davis Ave
Fl 2
Neptune City, NJ 07753
Phone (732) 528-0760

40 Bey Lea Rd
Ste A202
Toms River, NJ 08753
Phone (732) 367-1535

1540 State Route 138
Ste 202
Wall, NJ 07719
Phone (732) 477-0997

Interoperability endpoints

  • Direct secure messaging: knahum425335@direct.ahsys.org

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.

Hospital & facility affiliations 9

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1922079904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4632 ROUTE 9 S",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313319",
            "telephone_number": "732-367-1535",
            "fax_number": "732-367-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4632 ROUTE 9 S",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313319",
            "telephone_number": "732-367-1535",
            "fax_number": "732-367-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHUM",
        "first_name": "KENNETH",
        "middle_name": "D.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MB04108600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1819500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

Verify at the official NPI Registry.