Individual provider Active NPI

Kimberly K. Denick, MD

  • Pediatrics Physician
  • Stratford, NJ
National Provider Identifier
1124082508
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA06469800 Issued in NJ
Practice address
42 E Laurel Rd Ste 3500
Stratford, NJ 08084-1354
Phone
(856) 566-7040
Fax
(856) 566-6826
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA06469800 NJ Primary

Addresses

Primary practice location

42 E Laurel Rd Ste 3500
Stratford, NJ 08084-1354

Mailing address

42 E Laurel Rd Ste 3500
Stratford, NJ 08084-1354
Phone (856) 566-7040

Other practice location 1

212 W Route 38 Ste 400
Moorestown, NJ 08057
Phone (562) 350-2648

Other practice location 2

504 White Horse Pike
West Collingswood, NJ 08107-1730
Phone (856) 424-6050

Other practice location 3

504 White Horse Pike
West Collingswood, NJ 08107-1730
Phone (856) 424-6050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdenick18366@directvirtua.org Health Information Exchange (HIE)

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
I20190403001857 NJ Practitioner - Pediatric Medicine 7810130325 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Pediatrics CurrentSince Mar 1, 2019 Accepting new patients
Advocare , LLC CurrentSince Mar 1, 2019 Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients
Childrens Hospital of Philadelphia Past Accepting new patients
Virtua - West Jersey Health System, Inc. Past Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

212 W Route 38
Ste 400
Moorestown, NJ 08057
Phone (856) 235-0264

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

42 E Laurel Rd
Ste 3500
Stratford, NJ 08084
Phone (856) 566-7040

504 White Horse Pike
West Collingswood, NJ 08107
Phone (609) 424-6050

Interoperability endpoints

  • Direct secure messaging: kimberly.denick@advocaredoctors.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1124082508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD STE 3500",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-7040",
            "fax_number": "856-566-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD STE 3500",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-7040",
            "fax_number": "856-566-6826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 W Route 38 Ste 400",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "08057",
            "country_code": "US",
            "telephone_number": "562-350-2648",
            "fax_number": "856-235-4635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 White Horse Pike",
            "address_purpose": "LOCATION",
            "city": "West Collingswood",
            "state": "NJ",
            "postal_code": "081071730",
            "country_code": "US",
            "telephone_number": "856-424-6050",
            "fax_number": "856-424-2943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 White Horse Pike",
            "address_purpose": "LOCATION",
            "city": "West Collingswood",
            "state": "NJ",
            "postal_code": "081071730",
            "country_code": "US",
            "telephone_number": "856-424-6050",
            "fax_number": "856-424-2943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENICK",
        "first_name": "KIMBERLY",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06469800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdenick18366@directvirtua.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "42 E Laurel Rd Ste 3500",
            "city": "Stratford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080841354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

Verify at the official NPI Registry.