Active NPI
Kathryn Grimes, MD
- Student in an Organized Health Care Education/Training Program
- Camden, NJ
National Provider Identifier
1962793935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- One Cooper Plaza
Department of Emergency Medicine
Camden, NJ 08103 - Phone
- (856) 342-2351
- Fax
- (856) 968-8272
- NPI assigned
- Apr 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
One Cooper Plaza
Department of Emergency Medicine
Camden, NJ 08103
Mailing address
One Cooper Plaza
Department of Emergency Medicine
Camden, NJ 08103
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.61 of 100
- Quality
- 76.33
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pegasus Emergency Group PA | Current | Accepting new patients |
Locations
2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Flemington, NJ
- NPI 1336179621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303776000000",
"number": "1962793935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE COOPER PLAZA",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "08103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE COOPER PLAZA",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "08103",
"telephone_number": "856-342-2351",
"fax_number": "856-968-8272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMES",
"first_name": "KATHRYN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-26",
"last_updated": "2011-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.