KIMBERLY NELL (NPI# 1720472319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720472319 |
| Entity Type | Individual |
| Full Name | KIMBERLY NELL |
| Other Name | KIMBERLY WILBER |
| Practice Address |
210 S Shore Rd Ste 106 Marmora NJ 08223-1200 |
| Mailing Address |
802 Tilton Rd Northfield NJ 08225-1233 |
| Practice Telephone | 6093907888 |
| Practice Fax Number | 6093902614 |
| Mailing Telephone | 6093907888 |
| Mailing Fax Number | 6093902614 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 26NJ00549400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
210 S SHORE RD STE 106 |
| City | MARMORA |
| State | NJ |
| Zip Code | 08223-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891782371 | Hemang U Dave | Internal Medicine | 210 S Shore Rd, Suite 106, Marmora, NJ 08223-1200 | 2005-09-30 |
| 1932750239 | Amanda Sue Brozoskie | Nurse Practitioner | 210 S Shore Rd, Marmora, NJ 08223-1200 | 2019-09-27 |
| 1578919460 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 210 S Shore Rd, Suite 201, Marmora, NJ 08223-1200 | 2016-05-10 |
| 1407256498 | Rachel Nicole Hiester | Physical Therapist | 210 S Shore Rd, Suite 203, Marmora, NJ 08223-1200 | 2014-08-27 |
| 1518232586 | Regional Cancer Care Associates LLC | Internal Medicine | 210 S Shore Rd, Suite 106, Marmora, NJ 08223-1200 | 2012-03-09 |
| 1346512621 | Annie A. Farrow | Nurse Practitioner | 210 S Shore Rd, Ste. 106, Marmora, NJ 08223-1200 | 2012-02-02 |
| 1740410562 | Tiffany N Spoltore | Physical Therapist | 210 S Shore Rd, Suite 203, Marmora, NJ 08223-1200 | 2009-07-15 |
| 1467638734 | Ritchie Michael Carroll | Physical Therapist | 210 S Shore Rd, Suite 203, Marmora, NJ 08223-1200 | 2008-01-16 |
| 1871699256 | Kathryn Lego Wilkin | Nurse Practitioner | 210 S Shore Rd, Suite 106, Marmora, NJ 08223-1200 | 2006-09-15 |
| 1497768337 | Patrick S Eye | Nurse Practitioner | 210 S Shore Rd, Suite 201, Marmora, NJ 08223-1200 | 2006-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962909663 | Elizabeth Flores | Social Worker | 507 Route 9 South, Unit 10, Marmora, NJ 08223 | 2018-04-09 |
| 1790074607 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1 Us Route 9 South, Marmora, NJ 08223 | 2011-03-31 |
| 1306080825 | Village Super Market of Nj L P | Pharmacy | 4 West Roosevelt Ave, Marmora, NJ 08223 | 2009-04-28 |
| 1518165943 | Fahd Rahman | Internal Medicine | 210 South Shore Road. Suite 106, Hope Community Cancer Center, Marmora, NJ 08223 | 2007-07-06 |
| 1285664615 | Melissa Hutchison | Family Medicine | 210 S. Shore Road, Marmora, NJ 08223 | 2006-07-03 |
| 1497844534 | Ellen T Demoulin | Chiropractor | 52 Tuckahoe Rd, Marmora, NJ 08223 | 2006-10-12 |
| 1154746873 | Rachel Hunter | Occupational Therapist | 23 Ocean Ave, Marmora, NJ 08223-1007 | 2014-03-04 |
| 1588825657 | Gretchen Bridget Sheppard | Licensed Practical Nurse | 204 Seaside Ave, Marmora, NJ 08223-1033 | 2008-06-22 |
| 1093379646 | Laura Kathleen Verzi-aleszczyk | Behavioral Analyst | 612 Stagecoach Rd, Marmora, NJ 08223-1107 | 2019-04-30 |
| 1003820622 | Atlanticare Physician Group | Clinic/Center | 210 Route Us 9 S, Suite 201, Marmora, NJ 08223-1200 | 2006-07-28 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124384433 | Maureen E Snyder | Nurse Practitioner | 210 S Shore Rd Ste 202, Marmora, NJ 08223-1271 | 2012-04-11 |
| 1932750239 | Amanda Sue Brozoskie | Nurse Practitioner | 210 S Shore Rd, Marmora, NJ 08223-1200 | 2019-09-27 |
| 1497768337 | Patrick S Eye | Nurse Practitioner | 210 S Shore Rd, Suite 201, Marmora, NJ 08223-1200 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790732 | Emine Salif | Nurse Practitioner | 74 Union Ave Apt 4, Clifton, NJ 07011-2673 | 2020-11-06 |
| 1487255766 | Michelle Lynn Portadin | Nurse Practitioner | 19 Oak Glen Ln, Colts Neck, NJ 07722-1612 | 2020-11-04 |
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1437756954 | Maria J Tejada | Nurse Practitioner | 1163 Route 37 W Ste D4, Toms River, NJ 08755-4975 | 2020-10-07 |
| 1154938876 | Nancy Phillips | Nurse Practitioner | 202 Lisa Pl, North Brunswick, NJ 08902-5572 | 2020-09-27 |
| 1952914244 | Anna Manioudakis | Nurse Practitioner | 3540 Kennedy Blvd., Jersey City, NJ 07307 | 2020-08-26 |
| 1215547427 | Alison Del Duca | Nurse Practitioner | 10 Redshaw Blvd, Old Bridge, NJ 08857-4331 | 2020-08-03 |
| 1568071173 | Advanced Medical and Wellness Centers L.L.C. | Nurse Practitioner | 65 Newton Sparta Rd, Newton, NJ 07860-2816 | 2020-07-29 |
| 1659995025 | Downbeach Healthcare Consultants | Nurse Practitioner | 303 N Clermont Ave, Margate City, NJ 08402-2029 | 2020-06-02 |
| 1215559695 | Rutgers, School of Nursing-camden Community Health Clinics | Nurse Practitioner | The Branches Health Center, 1700 South 9th Street, Camden, NJ 08104 | 2020-05-08 |
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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.