Individual provider Active NPI

Joanna Kam, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1922492818
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
89046 Issued in GA
Practice address
3400 Spruce St
Philadelphia, PA 19104-4238
Phone
(215) 662-2777
Fax
(215) 662-4613
NPI assigned
Mar 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 89046 GA Primary
Otolaryngology Physician 207Y00000X MD469574 PA

Addresses

Primary practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Mailing address

613 Ponder Place Dr
Evans, GA 30809-3187
Phone (706) 364-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, GA, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200527000021 PA Practitioner - Otolaryngology 5799099131 Reassigns benefits to 1 organization
I20210728001079 GA Practitioner - Otolaryngology 5799099131 Reassigns benefits to 1 organization
I20220823003407 NJ Practitioner - Otolaryngology 5799099131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians

Practice addresses (Care Compare)

1001 Sheppard Rd
Voorhees, NJ 08043-4796
Phone (856) 772-1617

Hospital & facility affiliations

  • University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010
  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
  • Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89046GAMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Sep 6, 2022 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2020 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2020 Accepting new patients

Locations

570 Egg Harbor Rd
Ste B2
Sewell, NJ 08080
Phone (856) 256-0051

1605 E Evesham Rd
Ste 201
Voorhees, NJ 08043
Phone (856) 304-1114

1001 Sheppard Rd
Voorhees, NJ 08043
Phone (856) 745-9697

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

3737 Market St
Fl 3
Philadelphia, PA 19104
Phone (215) 662-2775

Organizations & group practices 5

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": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1922492818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 PONDER PLACE DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093187",
            "telephone_number": "706-364-3223",
            "fax_number": "706-364-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-2777",
            "fax_number": "215-662-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAM",
        "first_name": "JOANNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "GA",
            "license": "89046",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD469574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.