Perdomo, Kimberly J

Perdomo, Kimberly J is an sole proprietor health care provider with primary practice located at 92 Summit Ave , Hackensack NJ 07601-1263. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Perdomo, Kimberly J can be contacted via phone (201) 342-0066.

Contact Information

Primary practice address
92 Summit Ave Hackensack NJ 07601-1263
Phone: (201) 342-0066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26NJ01163000 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 26NJ01163000 New Jersey

Profile Details

NPI number 1861068827
LBN Legal business name Perdomo, Kimberly J
Credentials AGPCNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2021
Last updated Aug 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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