JANE KIM NPI 1164057253

NPI Information

  • NPI: 1164057253
  • Provider Name: JANE KIM
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 600 PEMBERTON BROWNS MILLS RD
    PEMBERTON, NJ
    ZIP 08068
  • Phone: (609) 894-1100

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NPI Details

Jane Kim is a family nurse practitioner in Pemberton, NJ with 6 years of experience. Jane Kim NPI is 1164057253. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 PEMBERTON BROWNS MILLS RD
PEMBERTON, NJ
ZIP 08068-537
Phone: (609) 894-1100
Fax: (609) 894-1110

The NPI 1164057253 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/9/2020 and was last updated on 3/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse60583312WASHINGTONNo
2363LF0000XNurse PractitionerFamily346001NEW YORKNo
3363LF0000XNurse PractitionerFamily26NJ01354500NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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