Individual provider Active NPI

Jane Kim

  • Family Nurse Practitioner
  • Pemberton, NJ
National Provider Identifier
1164057253
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01354500 Issued in 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
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 346001 NY
Family Nurse Practitioner 363LF0000X 26NJ01354500 NJ Primary

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

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
I20230302003102 NJ Practitioner - Nurse Practitioner 8820417215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
346001NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Jersey Family Medical Centers, Inc. CurrentSince Feb 24, 2025 Accepting new patients
Henry J Austin Health Center Inc CurrentSince Jan 3, 2023 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince Feb 24, 2025 Accepting new patients
Henry J. Austin Health Center, Inc. CurrentSince Jan 3, 2023 Accepting new patients
Henry J Austin Health Center, Inc Past Accepting new patients
Southern Jersey Family Medical Centers, Inc. PastSince Mar 20, 2025 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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1164057253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1309",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080536309",
            "telephone_number": "609-567-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PEMBERTON BROWNS MILLS RD",
            "city": "PEMBERTON",
            "state": "NJ",
            "postal_code": "080681537",
            "telephone_number": "609-894-1100",
            "fax_number": "609-894-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 High St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NJ",
            "postal_code": "080162737",
            "country_code": "US",
            "telephone_number": "609-386-0775",
            "fax_number": "609-386-4372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346001",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01354500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pemberton, NJ

Sources for this page

Verify at the official NPI Registry.