Active NPI
Katelyn Courtney, D.O.
- Emergency Medicine Physician
- Stratford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MB10834400
- Practice address
- 18 E Laurel Rd
Stratford, NJ 08084-1327 - Phone
- (856) 237-5208
- NPI assigned
- Jun 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MB10834400 | NJ | Primary |
Addresses
Primary practice location
18 E Laurel Rd
Stratford, NJ 08084-1327
Mailing address
18 E Laurel Rd
Stratford, NJ 08084-1327
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 Compare- Specialty
- Emergency Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Bowman Dr
Voorhees, NJ 08043-9619
Phone (856) 247-3000
Hospital & facility affiliations
- Jefferson Stratford Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB10834400 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Associates of South Jersey P C | Emergency Medicine | Current | Accepting new patients |
| Middlesex Emergency Physicians, P.a. | Emergency Medicine | Current | Accepting new patients |
Locations
100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000
200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200
65 James St
Edison, NJ 08820
Phone (732) 321-7010
18 E Laurel Rd
Stratford, NJ 08084
Phone (856) 346-6000
435 Hurffville Cross Keys Rd
Turnersville, NJ 08012
Phone (856) 513-4124
100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000
Organizations & group practices 2
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
- Voorhees, NJ
- NPI 1215965231
-
- Emergency Medicine Physician
- Edison, NJ
- NPI 1811921760
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1992155758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 E LAUREL RD",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 E LAUREL RD",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841327",
"telephone_number": "856-237-5208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURTNEY",
"first_name": "KATELYN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-13",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MB10834400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stratford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.