Martha Jean Keck, APN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

NR49634 Issued in NJ

Practice address

1 Cedar Crest Village Dr
Pompton Plains, NJ 07444-2100

Phone

(973) 831-3540

Fax

(973) 831-3503

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1942255443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 RESEARCH PARK DRIVE",
            "address_2": "4TH FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212284664",
            "telephone_number": "973-831-3540",
            "fax_number": "973-831-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CEDAR CREST VILLAGE DR",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074442100",
            "telephone_number": "973-831-3540",
            "fax_number": "973-831-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECK",
        "first_name": "MARTHA",
        "middle_name": "JEAN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "NR49634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8850704",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn M. Kabler, P.T.
• Raffaella Linda Kalishman, M.D.
• Anirudh Kapoor, M.D.
• Stamatina Kaptain, M.D.
• Kunwar Kaur, MD
• Kathleen Kelleher, RNC,MSN,DMH,NPC
• Sarah Khan, M.D.
• Soochung Kim, M.D.
• Deborah Lee Kingsley, RN
• Sierra Klaassens

• Gerontology Nurse Practitioner in Pompton Plains, NJ
• Providers in Pompton Plains, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.