KIMBALL MEDICAL CENTER, INC (NPI# 1053360990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053360990 |
| Entity Type | Organization |
| Organization Name | KIMBALL MEDICAL CENTER, INC |
| Other Organization Name | KIMBALL MEDICAL CENTER-PHYSICIANS |
| Practice Address |
600 River Ave Lakewood NJ 08701-5237 |
| Mailing Address |
Lockbox 9307, Po Box 8500 Philadelphia PA 19178-9307 |
| Practice Telephone | 7323631900 |
| Practice Fax Number | 7329424422 |
| Mailing Telephone | 7325577119 |
| Mailing Fax Number | 7325577109 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2010-05-26 |
| Authorized Official Name | MS. GALINA BEGUN (MANAGER) |
| Authorized Official Telephone | 7325577119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7997507 | 05 |
| Other Name | Type Code |
|---|---|
| Kimball Medical Center-Physicians | Doing Business As Name - Organization |
| Street Address |
600 RIVER AVE |
| City | LAKEWOOD |
| State | NJ |
| Zip Code | 08701-5237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376317 | Acutecare Health System LLC | General Acute Care Hospital | 600 River Ave, 4 West, Lakewood, NJ 08701-5237 | 2005-06-17 |
| 1740819168 | Courtney Marie Keville | Physician Assistant | 600 River Ave, Lakewood, NJ 08701-5237 | 2020-04-07 |
| 1689143208 | Nicole M Kissam | Social Worker | 600 River Ave, Lakewood, NJ 08701-5237 | 2018-11-14 |
| 1063944643 | Kate Bianchini | Registered Nurse | 600 River Ave, Lakewood, NJ 08701-5237 | 2017-04-01 |
| 1770027138 | Michael Olukotun | Nurse Practitioner | 600 River Ave, Lakewood, NJ 08701-5237 | 2016-12-05 |
| 1154870202 | Jaclyn Beck | Physician Assistant | 600 River Ave, Lakewood, NJ 08701-5237 | 2016-09-30 |
| 1245682491 | Garima Kalra | Internal Medicine | 600 River Ave, Lakewood, NJ 08701 | 2016-07-11 |
| 1588018840 | Lakewood Hospitalists | Psychiatry & Neurology | 600 River Ave, Lakewood, NJ 08701-5237 | 2016-04-22 |
| 1568821981 | Allyson Walsh | Nurse Practitioner | 600 River Ave, Lakewood, NJ 08701-5237 | 2016-02-12 |
| 1588047781 | Hilary Fuirita | Physician Assistant | 600 River Ave, Lakewood, NJ 08701-5237 | 2015-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787393 | Sky Care Aba LLC | Social Worker | 41 Carasaljo Drive, Lakewood, NJ 08701 | 2020-07-20 |
| 1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
| 1417588468 | Miriam Pelberg | Behavioral Analyst | 519 Second St., Lakewood, NJ 08701 | 2020-01-29 |
| 1639700529 | Rivky Parnes | Occupational Therapy Assistant | 110 Hillside Bullivard, Lakewood, NJ 08701 | 2020-01-29 |
| 1659910172 | Esther Gold | Behavioral Analyst | 611 Stirling Ave A, Lakewood Township, NJ 08701 | 2020-01-01 |
| 1649816323 | Julie Mcculley | Orthotist | 1353 River Ave Suite #4, Lakewood, NJ 08701 | 2019-11-18 |
| 1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
| 1992262299 | Miriam Lichtschein | Speech-Language Pathologist | 1439 South Street, Lakewood, NJ 08701 | 2019-02-23 |
| 1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
| 1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
| Find all providers in zip 08701 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376170381 | Kathleen Sibyl Kress Farrell | Pediatrics | 14701 Detroit Ave Ste 250, Lakewood, OH 44107-4109 | 2020-03-27 |
| 1306305842 | Werzberger Pediatrics PC. | Pediatrics | 619 W County Line Rd, Lakewood, NJ 08701-1215 | 2019-03-14 |
| 1851893002 | Kayla Pediatrics, PC | Pediatrics | 1576 Lanes Mill Rd, Lakewood, NJ 08701-3839 | 2018-03-04 |
| 1558897272 | Ngoc Thien Nguyen | Pediatrics | 7424 Bridgeport Way W Ste 103, Lakewood, WA 98499-8137 | 2017-05-02 |
| 1104229285 | Avivit Zurkovsky | Pediatrics | 101 Seond Street, Lakewood, NJ 08701-3324 | 2014-10-02 |
| 1124285788 | Bram Greenberg | Pediatrics | 555 Hope Chapel Rd, Lakewood, NJ 08701-1517 | 2008-05-21 |
| 1841482635 | William R Fenster | Pediatrics | 1201 River Ave, Unit 10, Lakewood, NJ 08701-5676 | 2007-08-15 |
| 1831307800 | Pediatric Practice, Inc | Pediatrics | 14601 Detroit Ave Ste 395, Lakewood, OH 44107-4209 | 2007-05-21 |
| 1710199955 | Bryson V Ahlers | Pediatrics | 6212 75th, Lakewood, WA 98499 | 2007-05-03 |
| 1992847024 | Mukti Rana | Pediatrics | 101 Prospect St Ste 112, Lakewood, NJ 08701-5004 | 2007-02-13 |
| Find all providers in LAKEWOOD | ||||
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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.