Kimberly Tallia, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00488700 Issued in NJ

Practice address

142 Route 35
Suite 103
Eatontown, NJ 07724-1876

Phone

(732) 389-5004

Fax

(732) 389-1850

NPI assigned

Jun 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Toms River Ambulatory Anesthesia LLCGroup PAC ID 5395980775, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
• JFK University Medical Center Hospital, Edison, NJ, CCN 310108

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

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.

• Toms River Ambulatory Anesthesia LLC

  • Integrative Medicine Physician
  • Shrewsbury, NJ
  • NPI 1841540341
  Medicare reassignment Care Compare group NPD
• Allied Digestive Health, LLC

  • Gastroenterology Physician
  • West Long Beach, NJ
  • NPI 1265831259
  Medicare reassignment NPD
• Sea Girt Physical Medicine and Rehabilitation Associates, LLC

  • Physical Medicine & Rehabilitation Physician
  • Manasquan, NJ
  • NPI 1407004195
  Medicare reassignment NPD
• Toms River Ambulatory Anesthesia LLC

  • Durable Medical Equipment & Medical Supplies
  • Manasquan, NJ
  • NPI 1700682515
  NPD
• Atlantic Coast Gastroenterology Associates

  • Gastroenterology Physician
  • Brick, NJ
  • NPI 1679512578
  NPD (past)

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

• HMH Hospitals Corporation

  • Clinic/Center
  • Neptune, NJ
  • NPI 1053880286

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Edison, NJ
  • NPI 1144894577
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Edison, NJ
  • NPI 1780301366

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Neptune, NJ
  • NPI 1790297547
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Neptune City, NJ
  • NPI 1962128496

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1144635517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 ROUTE 35",
            "address_2": "SUITE 103",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241876",
            "telephone_number": "732-389-5004",
            "fax_number": "732-389-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 ROUTE 35",
            "address_2": "SUITE 103",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241876",
            "telephone_number": "732-389-5004",
            "fax_number": "732-389-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLIA",
        "first_name": "KIMBERLY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00488700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Taylor Swanson
• James Ian Sweeney, MD
• Kim M Sweeney
• SZ Nutrition LLC
• Julianna Marie Szatmari, MS, RDN
• Jessie Elizabeth Tamargo, LAC
• Richard Tangel, MD
• David Tarrab, DDS
• Alexey Tatusov, M.D.
• Isaac Tawfik, MD

• Adult Health Nurse Practitioner in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.