Active NPI
Nicholas Adam Kalbach, M.D.
- Pediatric Critical Care Medicine Physician
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 25MA10648000
- Practice address
- 1 Cooper PLZ
Camden, NJ 08103-1461 - Phone
- (856) 342-2000
- NPI assigned
- May 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | C1-0013309 | DE | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 25MA10648000 | NJ | Primary |
Addresses
Primary practice location
1 Cooper PLZ
Camden, NJ 08103-1461
Mailing address
1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935
Other practice location 1
254 Easton Ave
MOB, 3rd Floor, Pediatrics
New Brunswick, NJ 08901-1766
Phone (732) 745-8600 ext. 6848
Other practice location 2
1600 Rockland Rd
Wilmington, DE 19803-3607
Phone (302) 651-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191008001180 | DE | Practitioner - Critical Care (Intensivists) | 3971834896 | Reassigns benefits to 1 organization |
| I20191008002430 | NJ | Practitioner - Pediatric Medicine | 3971834896 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Rockland Rd
Wilmington, DE 19803-3607
Phone (302) 651-4200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0013309 | DE | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Current | Accepting new patients | |
| Nemours New Jersey Physician Practice, P.C. | Pediatrics | Current | Accepting new patients |
| The Nemours Foundation | Current | Accepting new patients | |
| Cooper Pediatric Specialists, PC | Pediatrics | Current | Accepting new patients |
Locations
1600 Rockland Rd
Wilmington, DE 19803
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
3 Cooper Plz
Rm 200
Camden, NJ 08103
Phone (609) 342-2001
1 Cooper Plz
Fl 7
Camden, NJ 08103
Phone (856) 342-2265
1280 Almonesson Rd
Woodbury, NJ 08096
Phone (856) 345-1401
Interoperability endpoints
- nkalbach187418@direct.cooperhealth.edu
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Deptford, NJ
- NPI 1265874713
NJ, Pediatrics
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1972981850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST STE 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "848-288-6935",
"fax_number": "732-790-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COOPER PLZ",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031461",
"telephone_number": "856-342-2000"
}
],
"practiceLocations": [
{
"address_1": "254 Easton Ave",
"address_2": "MOB, 3rd Floor, Pediatrics",
"address_purpose": "LOCATION",
"city": "New Brunswick",
"state": "NJ",
"postal_code": "089011766",
"country_code": "US",
"telephone_number": "732-745-8600 x6848",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 Rockland Rd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198033607",
"country_code": "US",
"telephone_number": "302-651-4200",
"fax_number": "302-651-4945",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KALBACH",
"first_name": "NICHOLAS",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-12",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "DE",
"license": "C1-0013309",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NJ",
"license": "25MA10648000",
"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 Oct 8, 2024; 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.