JENNA KIMMERLE (NPI# 1467053322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467053322 |
| Entity Type | Individual |
| Full Name | JENNA KIMMERLE |
| Practice Address |
535 Sycamore Ave Shrewsbury NJ 07702-4224 |
| Mailing Address |
409 Kettle Creek Rd Apt 3 Toms River NJ 08753-1977 |
| Practice Telephone | 7327410970 |
| Mailing Telephone | 5705755136 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00592100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
535 SYCAMORE AVE |
| City | SHREWSBURY |
| State | NJ |
| Zip Code | 07702-4224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285617308 | Jonathan M Weiswasser | Surgery | 535 Sycamore Ave, Shrewsbury, NJ 07702 | 2005-11-22 |
| 1205460177 | Caroline Moore | Physician Assistant | 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 | 2020-02-28 |
| 1417598012 | Sydney Myers | Physician Assistant | 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 | 2019-10-04 |
| 1750936704 | Broderick D Longo | Specialist/Technologist, Other | 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 | 2019-08-07 |
| 1831754670 | Erin Michelle Gutkind | Physician Assistant | 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 | 2019-05-07 |
| 1528539871 | Justyna M Cerefin | Surgery | 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 | 2018-12-16 |
| 1730660747 | Zaneta Pabon | Physician Assistant | 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 | 2018-08-27 |
| 1295249779 | Megan Devitt | Physician Assistant | 535 Sycamore Ave, Shrewsbury, NJ 07702 | 2017-11-20 |
| 1912428426 | Gabriella Alexa Arce | Physician Assistant | 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 | 2017-07-06 |
| 1568909000 | Jennifer Rey | Physician Assistant | 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 | 2017-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477965457 | Courtney Anderson | Psychologist | 40 Avenue At The Cmn Ste 203, Shrewsbury, NJ 07702 | 2014-05-27 |
| 1952723264 | Encore Dental of Shrewsbury | Dentist | 40 Shrewsbury Plaza, Shrewsbury, NJ 07702 | 2014-01-07 |
| 1952503393 | Dana L Essner | Nurse Practitioner | 655 Shrewsbury Ave Ste 206, Shrewsbury, NJ 07702 | 2007-06-05 |
| 1265646764 | Marvin Jeffrey Sher | Dentist | 23 White Street, Shrewsbury, NJ 07702 | 2007-05-10 |
| 1467679076 | Lori A. Magoulas | Dietitian, Registered | 39 Avenue At The Common, Suite 106, Shrewsbury, NJ 07702 | 2007-04-18 |
| 1932247459 | Judith Lorraine Krusell | Psychologist | 322 Sycamore Avenue, Shrewsbury, NJ 07702 | 2007-02-05 |
| 1114070539 | Jessica L Federici | Social Worker | 812 Broad St, Shrewsbury, NJ 07702 | 2007-01-19 |
| 1043363583 | Nursefinders Inc | Home Health | 170 Avenue At The Common, Suite 1, Shrewsbury, NJ 07702 | 2007-01-19 |
| 1598816365 | Mitchell Jeffrey Gardiner | Dentist | 59 Avenue At The Common, Suite 205, Shrewsbury, NJ 07702 | 2007-01-16 |
| 1144383837 | Global Healthcare Alliances, LLC | Skilled Nursing Facility | 39 Ave At The Commons, Suite 206, Shrewsbury, NJ 07702 | 2006-12-18 |
| Find all providers in zip 07702 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634720 | Kristen Ann Kotsopoulos | Physician Assistant | 3 Timari Dr, Shrewsbury, MA 01545-5658 | 2020-09-18 |
| 1285252064 | Mia L Andresen | Physician Assistant | 6 Birch Brush Rd, Shrewsbury, MA 01545-1696 | 2020-07-08 |
| 1215556113 | Erica Nader | Physician Assistant | 158 Old Mill Rd, Shrewsbury, MA 01545-2238 | 2020-04-10 |
| 1205460177 | Caroline Moore | Physician Assistant | 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 | 2020-02-28 |
| 1831754670 | Erin Michelle Gutkind | Physician Assistant | 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 | 2019-05-07 |
| 1730660747 | Zaneta Pabon | Physician Assistant | 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 | 2018-08-27 |
| 1316433915 | Johanna Sofia Sites | Physician Assistant | 89 E Forrest Ave, Shrewsbury, PA 17361-1402 | 2018-07-06 |
| 1568909000 | Jennifer Rey | Physician Assistant | 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 | 2017-01-23 |
| 1861868549 | Patrick John Mcginn | Physician Assistant | 170 Avenue At The Cmn, Suite 6, Shrewsbury, NJ 07702 | 2015-08-17 |
| 1225429806 | Stephanie Marie Catalano | Physician Assistant | 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 | 2015-02-18 |
| Find all providers in SHREWSBURY | ||||
| City | SHREWSBURY |
| Zip Code | 07702 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.