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MRS. KATHRYN L KUMTA APN-BC
NPI 1376970467
Nurse Practitioner - Family in Oakhurst, NJ

Active since October 03, 2013PECOS Enrolled
40 MONMOUTH RD, OAKHURST, NJ 07755(173) 222-3243 Get Directions Write a Review

NPPES record last updated: October 3, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Kathryn L Kumta Apn-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATHRYN L KUMTA APN-BC (NPI 1376970467) is an individual family provider in Oakhurst, New Jersey, licensed in New Jersey (26NJ00464000) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376970467
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KATHRYN L KUMTACredential: APN-BC
Location Address40 MONMOUTH RDOakhurst, NJ 07755-1654
Mailing Address6 Deer Pond LnHolmdel, NJ 07733-1253 · (732) 533-5181
Phone(173) 222-3243
Sole ProprietorNo
Enumeration DateOctober 3, 2013
✔ NPI 1376970467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ00464000
40 MONMOUTH RD, Oakhurst, NJ 07755
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kathryn L Kumta Apn-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Kathryn Kumta reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile
Same address
Family Medicine
40 MONMOUTH RD
Oakhurst, NJ 07755
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group
NPI 1881785343 (732) 222-3243
Freehold Hospitalists, LLC
15 mi
Hospitalist
4255 ROUTE 9 N, BLDG 5, SUITE B
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 31 clinicians in this Medicare group
NPI 1831231463 (732) 255-2252
Yes Wellness PA
32 mi
Physical Medicine & Rehabilitation
50 HARRISON ST STE 212F
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 30 clinicians in this Medicare group
NPI 1730656463 (201) 484-8950
Physiatry Consultants Of Nj LLC
729 mi
Physical Medicine & Rehabilitation
9400 MARION AVE
Morton Grove, IL 60053
  • Reassigned Medicare billing, New Jersey enrollment
  • 21 clinicians in this Medicare group
NPI 1710690631 (855) 611-8783

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
329 services113 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
202 services83 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
73 services66 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07755 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATIF B MALIK MD PC
Physical Medicine & Rehabilitation (Pain Medicine)
40 MONMOUTH RD
OAKHURST, NJ 07755
Monmouth County (732) 626-0747
OAKHURST MEDICAL GROUP, LLC
Family Medicine
40 MONMOUTH RD
OAKHURST, NJ 07755
Monmouth County (732) 222-3243
ESTHER ADEKUNLE NP
Nurse Practitioner
40 MONMOUTH RD
OAKHURST, NJ 07755
Monmouth County (732) 263-1220
MS. KIM J SCOTT
Physician Assistant (Medical)
40 MONMOUTH RD
OAKHURST, NJ 07755
Monmouth County (732) 263-1220
ISAAC J. DWECK, MD
Family Medicine
40 MONMOUTH RD
OAKHURST, NJ 07755
Monmouth County (732) 263-1220
MR. ISAAC J DWECK M.D.
Family Medicine
40 MONMOUTH RD
OAKHURST, NJ 07755
Monmouth County (732) 222-3243

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Kumta's NPI number?

The NPI number for Kathryn Kumta is 1376970467. It was assigned to this individual provider in the NPPES registry on October 3, 2013.

Where is Kathryn Kumta located?

Kathryn Kumta practices at 40 Monmouth Rd, Oakhurst, NJ 07755. The listed phone number is (173) 222-3243.

What is Kathryn Kumta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathryn Kumta enrolled in Medicare?

Yes. Kathryn Kumta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kathryn Kumta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Kumta reassigns Medicare benefits to 4 organizations: (Oakhurst, NJ), Freehold Hospitalists, LLC (Freehold, NJ), Yes Wellness PA (Hoboken, NJ) and Physiatry Consultants Of Nj LLC (Morton Grove, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathryn Kumta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Kumta accept?

Health plans from Oscar Health list Kathryn Kumta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathryn Kumta was last updated on October 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.