Kim R Martin-Widawsky, ANPC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NN06683300 Issued in NJ

Practice address

328 W Saint Georges Ave
Linden, NJ 07036-5638

Phone

(908) 925-2273

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert Wood Johnson Medical Associates at Hamilton PAGroup PAC ID 6204805419, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Robert Wood Johnson Medical Associates at Hamilton PA

  • General Practice Physician
  • Linden, NJ
  • NPI 1619206828
  Medicare reassignment Care Compare group NPD
• Brookview Medical Associates, PLLC

  • General Practice Physician
  • Bohemia, NY
  • NPI 1871965855

  Nurse Practitioner

  Medicare reassignment NPD
• Robert Wood Johnson Medical Associates at Hamilton PA

  • General Practice Physician
  • Secaucus, NJ
  • NPI 1265012660
  NPD
• Vytaliz Medical

  • Internal Medicine Physician
  • New City, NY
  • NPI 1568831105
  NPD
• Alnajar Medical PLLC

  • Allergy & Immunology (Internal Medicine) Physician
  • Massapequa, NY
  • NPI 1215416383
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1053484147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W MAPLE AVE",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011206",
            "telephone_number": "201-394-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 W SAINT GEORGES AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365638",
            "telephone_number": "908-925-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 W Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Allendale",
            "state": "NJ",
            "postal_code": "074011206",
            "country_code": "US",
            "telephone_number": "201-394-3329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1255 Broad St",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "NJ",
            "postal_code": "070033000",
            "country_code": "US",
            "telephone_number": "201-394-3329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Liberty St",
            "address_2": "Federal Reserve Bank of NY Medical Dept.",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100451003",
            "country_code": "US",
            "telephone_number": "212-720-5201",
            "fax_number": "212-720-7775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN-WIDAWSKY",
        "first_name": "KIM",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "ANPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "NJ",
            "license": "26NN06683300",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "NY",
            "license": "300344",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "300344",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NN06683300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN ANP LICENSE",
            "identifier": "300344",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER IN ADULT HEALTH",
            "identifier": "F300344-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCE PRACTICE NURSE",
            "identifier": "26NN06683300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Mangan
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• Maria Drugs Inc
• Mark Nitti OD & Steven Renner OD,PA
• Chava Rena Markowitz, AUD CCC-A
• Martinez Psychiatry MD
• Nina Masi, OD
• Agnes Mathew, APN
• Megan McDonald, MT-BC, NMT
• Kathleen E. McKenna, NP-C

• Nurse Practitioner in Linden, NJ
• Providers in Linden, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.