Individual provider Active NPI

Kimberly M Trojak, CRNA

  • Certified Registered Nurse Anesthetist
  • Newark, DE
National Provider Identifier
1083672604
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN262198L Issued in PA
Practice address
111 Continental Dr
Suite 412
Newark, DE 19713-4306
Phone
(302) 709-4497
Fax
(302) 733-0854
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 23NR07589700 NJ
Certified Registered Nurse Anesthetist 367500000X 26NR07589700 NJ
Certified Registered Nurse Anesthetist 367500000X RN262198L PA Primary

Addresses

Primary practice location

111 Continental Dr
Suite 412
Newark, DE 19713-4306

Mailing address

21 Hearthstone LN
Marlton, NJ 08053-5363
Phone (856) 797-8470

Other names 1

  • Kimberly M Trojak Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060814000001 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466455480 Reassigns benefits to 5 organizations
I20110707000254 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466455480

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

Practice addresses (Care Compare)

10 Plum St
New Brunswick, NJ 08901-2065
Phone (732) 937-8841

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
23NR07589700NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Feb 1, 2021 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Parkway Anesthesia Associates LLC CurrentSince Aug 20, 2022 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Feb 1, 2021 Accepting new patients
New Jersey Healthcare Specialists PC CurrentSince Jan 7, 2015 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Feb 1, 2021 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Jun 22, 2024 Accepting new patients
Bethlehem Endoscopy Center LLC CurrentSince Jun 28, 2022 Accepting new patients
Rutgers Health-RWJ Primary Medicine Group Current Accepting new patients
Haverford Anesthesia Associates-NJ, P.C. Past Accepting new patients
Virtua Medical Group, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
TPS II of PA, LLC Past Accepting new patients
Burlington Anesthesia Associates, PA Past Accepting new patients
Associates in Anesthesia Past Accepting new patients

Locations

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

94 Old Short Hills Rd
Ste 1
Livingston, NJ 07039
Phone (973) 322-2800

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

125 Paterson St
New Brunswick, NJ 08901
Phone (732) 235-6511

10 Plum St
Fl 4
New Brunswick, NJ 08901
Phone (732) 235-8727

10 Plum St
#G
New Brunswick, NJ 08901
Phone (732) 937-8841

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

317 George St
Fl 3
New Brunswick, NJ 08901
Phone (732) 235-6137

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

125 Paterson St
Ste 5123
New Brunswick, NJ 08901
Phone (732) 235-7246

125 Paterson St
#5100
New Brunswick, NJ 08901
Phone (732) 235-6512

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

1 Robert Wood Johnson Pl
#G
New Brunswick, NJ 08901
Phone (732) 937-8841

125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

5325 Northgate Dr
Ste 101
Bethlehem, PA 18017
Phone (610) 866-5008

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1083672604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HEARTHSTONE LN",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080535363",
            "telephone_number": "856-797-8470",
            "fax_number": "302-733-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CONTINENTAL DR",
            "address_2": "SUITE 412",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134306",
            "telephone_number": "302-709-4497",
            "fax_number": "302-733-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROJAK",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "23NR07589700",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NR07589700",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN262198L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "TROJAK",
            "middle_name": "M",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.