Ms Kimberly J Perdomo, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Primary Care" physician in Hackensack, New Jersey. Her current practice location is
92 Summit Ave, Hackensack, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 342-0066.
Ms Kimberly J Perdomo is licensed to practice in New Jersey (license number 26NJ01163000) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861068827.
Physician's Profile
| Full Name | Ms Kimberly J Perdomo |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 92 Summit Ave, Hackensack, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Kimberly J Perdomo attended and graduated from in
NPI Data:
- NPI Number: 1861068827
- Provider Enumeration Date: 06/01/2021
- Last Update Date: 08/09/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Kimberly J Perdomo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861068827 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 26NJ01163000 (New Jersey) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 26NJ01163000 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kimberly J Perdomo is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ms Kimberly J Perdomo, AGPCNP-BC
92 Summit Ave,
Hackensack, NJ 07601-1263
Ph: () - | Ms Kimberly J Perdomo, AGPCNP-BC
92 Summit Ave,
Hackensack, NJ 07601-1263
Ph: (201) 342-0066 |
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