Individual provider Active NPI

Kimberly J Koval, RN, MSN, APN-C

  • Adult Health Nurse Practitioner
  • Springfield, NJ
National Provider Identifier
1083987101
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00360900 Issued in NJ
Practice address
385 Morris Ave
Springfield, NJ 07081-1151
Phone
(973) 379-2111
Fax
(973) 379-2807
NPI assigned
Feb 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00360900 NJ Primary

Addresses

Primary practice location

385 Morris Ave
Springfield, NJ 07081-1151

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735

Other names 1

  • Kimberly J Bohs Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120424000599 NJ Practitioner - Nurse Practitioner 8426210279 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone (908) 441-1161

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group CurrentSince Jan 27, 2020 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 5, 2013 Accepting new patients
Faster Urgent Care, LLC CurrentSince Mar 22, 2012 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 5, 2013 Accepting new patients
Ahs Hospital Corp Past Accepting new patients

Locations

248 Columbia Tpke
Florham Park, NJ 07932
Phone (973) 377-0224

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

657 Willow Grove St
Ste 305
Hackettstown, NJ 07840

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

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

130 Speedwell Ave
Morris Plains, NJ 07950
Phone (862) 242-8053

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

333 Mount Hope Ave
Rockaway, NJ 07866
Phone (973) 895-6601

333 Mount Hope Ave
Ste 220
Rockaway, NJ 07866
Phone (973) 267-2838

385 Morris Ave
Fl 2
Springfield, NJ 07081
Phone (973) 329-2111

385 Morris Ave
Springfield, NJ 07081
Phone (973) 379-2111

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1083987101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 MORRIS AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811151",
            "telephone_number": "973-379-2111",
            "fax_number": "973-379-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVAL",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, APN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00360900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BOHS",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.