Jane Kim
Individual provider Active NPI Family Nurse Practitioner · Pemberton, NJ
NPI 1164057253 · NPPES record last updated Mar 4, 2026
Key facts
- NPI
- 1164057253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NJ01354500 (NJ)
- Practice address
- 600 Pemberton Browns Mills Rd
Pemberton, NJ 08068-1537 - Phone
- (609) 894-1100
- Fax
- (609) 894-1110
- NPI assigned
- Mar 9, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Jersey Family Medical Centers, Inc
Practice addresses (Care Compare)
600 Pemberton Browns Mills Rd
Pemberton, NJ 08068-1537
Phone (609) 894-1100
860 S White Horse Pike
Hammonton, NJ 08037-2018
Phone (609) 567-0200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230302003102 | NJ | Practitioner - Nurse Practitioner | 8820417215 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01354500 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Jersey Family Medical Centers, Inc. | Current |
Accepting new patients | |
| Southern Jersey Family Medical Centers, Inc | Current |
Accepting new patients | |
| Henry J Austin Health Center Inc | Current |
Accepting new patients | |
| Henry J. Austin Health Center, Inc. | Current |
Accepting new patients | |
| Southern Jersey Family Medical Centers, Inc. | Past |
Accepting new patients | |
| Henry J Austin Health Center, Inc | Past | Accepting new patients |
Locations
651 High St
Burlington City, NJ 08016
Phone (609) 386-0775
860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200
600 Pemberton Browns Mills Rd
Pemberton, NJ 08068
Phone (609) 726-7000
314 E State St
#316
Trenton, NJ 08608
Phone (609) 396-4258
321 N Warren St
Trenton, NJ 08618
Phone (609) 278-6029
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 346001 | NY | |
| Family Nurse Practitioner | 363LF0000X | 26NJ01354500 | NJ | Yes |
Addresses
Primary practice location
600 Pemberton Browns Mills Rd
Pemberton, NJ 08068-1537
Mailing address
PO Box 1309
Marlton, NJ 08053-6309
Phone (609) 567-0200
Other practice location 1
651 High St
Burlington, NJ 08016-2737
Phone (609) 386-0775
Other providers in Pemberton, NJ
- Mikayla Kelley
- Michael S Kellner
- Kimberly Kelly
- Megan Kelly
- Anthony Kheir
- Stephen Alan Kloss
- Samantha E Kulpa
- Hannah Kwartin
- Benjamin Lambert
- Megan Leap
All providers in Pemberton, NJ · Family Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.