Individual provider Active NPI

Kimberlee Wing Quan, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Branchburg, NJ
National Provider Identifier
1033776430
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
25MB11557200 Issued in NJ
Practice address
3322 US Highway 22 W Ste 1008
Branchburg, NJ 08876-4403
Phone
(908) 219-7965
NPI assigned
May 22, 2019
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 25MB11557200 NJ Primary

Addresses

Primary practice location

3322 US Highway 22 W Ste 1008
Branchburg, NJ 08876-4403

Mailing address

3322 US Highway 22 Ste 1008
Branchburg, NJ 08876-4403
Phone (908) 219-7965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221020000162 NJ Practitioner - Osteopathic Manipulative Medicine 9436525169 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3322 Route 22
Suite 1008
Branchburg, NJ 08876-4403
Phone (201) 233-4006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Omm Neuromusculoskeletal Medicine & Omm CurrentSince Jan 15, 2025 Accepting new patients
Performance Medical of Watchung LLC CurrentSince Oct 10, 2022 Accepting new patients
Performance Medical Group of Somerset CurrentSince Oct 10, 2022 Accepting new patients

Locations

3322 US Highway 22 W
Ste 1008
Branchburg, NJ 08876
Phone (201) 233-4006

1011 US Highway 22
Bridgewater, NJ 08807

1011 US Highway 22
Ste 203
Bridgewater, NJ 08807
Phone 9087562424135

454 Elizabeth Ave
Somerset, NJ 08873
Phone (732) 860-5757

10 Johnston Dr
Watchung, NJ 07069

459 Watchung Ave
Watchung, NJ 07069
Phone (908) 274-0988

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCFGDD/Endpoint/HCFGDD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1033776430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 US HIGHWAY 22 STE 1008",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088764403",
            "telephone_number": "908-219-7965",
            "fax_number": "866-531-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 US HIGHWAY 22 W STE 1008",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088764403",
            "telephone_number": "908-219-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WING QUAN",
        "first_name": "KIMBERLEE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NJ",
            "license": "25MB11557200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, NJ

Sources for this page

Verify at the official NPI Registry.