Individual provider Active NPI

Shyamkant Sakharam Kulkarni, MD

  • Family Medicine Physician
  • Thorofare, NJ
National Provider Identifier
1972667426
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08061000 Issued in NJ
Practice address
406 Stuart CT
Thorofare, NJ 08086-3810
Phone
(856) 812-0414
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08061000 NJ Primary

Addresses

Primary practice location

406 Stuart CT
Thorofare, NJ 08086-3810

Mailing address

406 Stuart CT
Thorofare, NJ 08086-3810
Phone (856) 812-0414

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
I20140825001104 NJ Practitioner - Family PracticePractitioner - General PracticePractitioner - Internal Medicine 1759283955 Practice locations: Thorofare, NJ

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972667426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 STUART CT",
            "city": "THOROFARE",
            "state": "NJ",
            "postal_code": "080863810",
            "telephone_number": "856-812-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 STUART CT",
            "city": "THOROFARE",
            "state": "NJ",
            "postal_code": "080863810",
            "telephone_number": "856-812-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULKARNI",
        "first_name": "SHYAMKANT",
        "middle_name": "SAKHARAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08061000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thorofare, NJ

Sources for this page

Verify at the official NPI Registry.