Individual provider Active NPI

Kristine I McCoy, M.D.

  • Family Medicine Physician
  • Oceanport, NJ
National Provider Identifier
1922105394
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09838700 Issued in NJ
Practice address
12 Russel Ave
Oceanport, NJ 07757-1249
Phone
(908) 641-2810
Fax
(732) 460-9848
NPI assigned
Sep 20, 2006
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA09838700 NJ Primary
Family Medicine Physician 207Q00000X A88140 CA

Addresses

Primary practice location

12 Russel Ave
Oceanport, NJ 07757-1249

Mailing address

12 Russel Ave
Oceanport, NJ 07757-1249
Phone (908) 641-2810

Other practice location 1

190 Highway 18 Ste 202
East Brunswick, NJ 08816-1407
Phone (732) 828-9988

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
I20160513001150 NJ Practitioner - Family Practice 5496858219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.97 of 100Reported as group
Quality
69.67
Promoting interoperability
94
Improvement activities
40
Cost
75.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88140CAMDFamily Medicine Physician
25MA09838700NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ima Urgent Care PastSince Jan 29, 2023 Accepting new patients
Two Oceans Wellness Medical Group East PC Family Medicine PastSince Apr 6, 2025 Accepting new patients
El Centro Family Health Past Accepting new patients
Two Oceans Wellness Medical Group West PC Family Medicine PastSince Apr 13, 2025 Accepting new patients
El Centro Family Health Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1922105394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RUSSEL AVE",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571249",
            "telephone_number": "908-641-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 RUSSEL AVE",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571249",
            "telephone_number": "908-641-2810",
            "fax_number": "732-460-9848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Highway 18 Ste 202",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "088161407",
            "country_code": "US",
            "telephone_number": "732-828-9988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "KRISTINE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09838700",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A88140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanport, NJ

Sources for this page

Verify at the official NPI Registry.