MRS. KIMBERLY ANN HAGEN (NPI# 1811555709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811555709 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY ANN HAGEN |
| Credential | PA |
| Practice Address |
11 Meridian Rd Eatontown NJ 07724-2242 |
| Mailing Address |
237 Mill Pond Way Eatontown NJ 07724-2473 |
| Practice Telephone | 7326630300 |
| Practice Fax Number | 7326630301 |
| Mailing Telephone | 5122284129 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1163559 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 222 Schanck Rd Ste 104, Freehold, NJ 077282974 | 7324311332 | 7324311712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245369990 | Kimberly Hagen Hagen | Psychologist | 12021 Wilmington Ave, Trailer 6, Los Angeles, CA 90059-3019 | 2007-03-05 |
| 1528145356 | Kimberly R Hagen | Nurse Practitioner | 3334 Capital Medical Blvd #400, Tallahassee, FL 32308 | 2006-11-01 |
| 1518972272 | Kimberly M Hagen | Social Worker | 9 N 4th Ave, Marshalltown, IA 50158-1836 | 2006-07-30 |
| Street Address |
11 MERIDIAN RD |
| City | EATONTOWN |
| State | NJ |
| Zip Code | 07724-2242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679490 | Lance Seth Berger | Internal Medicine | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2005-06-17 |
| 1700428158 | Marissa Ashley Naparlo | Nurse Practitioner | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2019-10-16 |
| 1699242669 | Rachel Groves | Nurse Practitioner | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2018-10-29 |
| 1942725213 | Elyse Roddy | Nurse Practitioner | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2017-08-08 |
| 1154877967 | Kaitlin Rogers | Nurse Practitioner | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2016-08-31 |
| 1184082349 | Cara Fehnel | Nurse Practitioner | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2016-02-03 |
| 1851648687 | Victoria Catherine Vallejo | Physician Assistant | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2012-08-10 |
| 1134480205 | Jeffrey Craig Selan | Internal Medicine | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2012-06-05 |
| 1124311642 | Daniel Harris Kiss | Internal Medicine | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2011-05-17 |
| 1841519709 | Matthew Douglas Saybolt | Internal Medicine | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2010-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719788 | Zsanae Lewis | Driver | 1 Main St Unit 401, Eatontown, NJ 07724 | 2019-06-18 |
| 1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
| 1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
| 1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
| 1649745589 | Jersey Shore Dental Spa LLC | Dentist | 613 Hope Road Building 5, Eatontown, NJ 07724 | 2018-10-08 |
| 1487135448 | A2z Diagnostics LLC | Pathology | 6 Industrial Way W Ste F19, Eatontown, NJ 07724 | 2018-08-27 |
| 1942708268 | Elyce Jackson | Counselor | 10 Industrial Way, Eatontown, NJ 07724 | 2018-02-01 |
| 1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
| 1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
| 1669998100 | Seacrest Recovery Center North Jersey, LLC | Psychologist | 162 Highway 35, Eatontown, NJ 07724 | 2017-08-16 |
| Find all providers in zip 07724 | ||||
| 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 |
|---|---|---|---|---|
| 1881029007 | Meaghan Rose Gavan | Physician Assistant | 234 Industrial Way W Ste A103, Suite A, Eatontown, NJ 07724-4257 | 2013-09-06 |
| 1083893119 | Hina F Ahmed | Physician Assistant | 234 Industrial Way W Ste A104, Eatontown, NJ 07724-4263 | 2007-10-25 |
| 1851648687 | Victoria Catherine Vallejo | Physician Assistant | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2012-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528163 | Paul J Lamartina | Physician Assistant | 1640 Highway 88 Ste 201, Brick, NJ 08724-3068 | 2020-11-05 |
| 1912507641 | Katherine Badecker | Physician Assistant | 30 Beams Ter, Manasquan, NJ 08736-2905 | 2020-10-30 |
| 1619577715 | Erin Kathryn Schlegel | Physician Assistant | 14 Timmons Hill Dr, Millstone Twp, NJ 08535-9307 | 2020-10-28 |
| 1235738006 | Amanda Kwartemaah Osei | Physician Assistant | 2 Colonial Sq, Middletown, NJ 07748-3548 | 2020-10-22 |
| 1972102770 | Vanesa Kodra | Physician Assistant | 1590 Anderson Ave Apt 2j, Fort Lee, NJ 07024-2707 | 2020-10-22 |
| 1366040750 | Gregory Joseph Salamon | Physician Assistant | 221 Belaire Ter, Mount Laurel, NJ 08054-2703 | 2020-10-16 |
| 1861099145 | Nathalie Jaqueline Rivera | Physician Assistant | 555 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2020-10-08 |
| 1710584222 | Shivam G. Patel | Physician Assistant | 207 Gambocz Ct, Monmouth Junction, NJ 08852-2167 | 2020-10-07 |
| 1932706579 | Michelle Rose Maddatu | Physician Assistant | 742 Durham Ter, Brick, NJ 08724-1064 | 2020-10-07 |
| 1154928737 | Jarna Patel | Physician Assistant | 11 Barley Ct, Plainsboro, NJ 08536-3100 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. KIMBERLY ANN HAGEN.
| 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.