Individual provider Active NPI

Kimberly A Newhook, PA-C

  • Medical Physician Assistant
  • Willingboro, NJ
National Provider Identifier
1235101064
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MP000533 Issued in NJ
Practice address
220 Sunset Rd Ste 2C
Willingboro, NJ 08046-1126
Phone
(609) 871-9500
Fax
(609) 871-7590
NPI assigned
Feb 6, 2006
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MP000533 NJ Primary

Addresses

Primary practice location

220 Sunset Rd Ste 2C
Willingboro, NJ 08046-1126

Mailing address

220 Sunset Rd Ste 2C
Willingboro, NJ 08046-1126
Phone (609) 871-9500

Other practice location 1

215 Sunset Rd
Suite 102
Willingboro, NJ 08046-1108
Phone (609) 871-9500

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
I20071219000335 NJ Practitioner - Physician Assistant 7719077346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Site Dermatology of New Jersey LLCGroup PAC ID 1951616697, 12 clinicians

Practice addresses (Care Compare)

90 Washington Valley Road
Suite 1231
Bedminster, NJ 07921-2118
Phone (877) 345-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MP000533NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
On Site Dermatology of New Jersey, LLC CurrentSince Dec 1, 2025 Accepting new patients
Advanced Dermatology Laser and Mohs Surgery Center Past Accepting new patients
Advanced Dermatology Mohs & Laser Surgery Center, P.a. PastSince Mar 31, 2023 Accepting new patients
Robbie Drossner, M.D., P.a. PastSince Feb 1, 2004 Accepting new patients
Karen S Harkaway MD LLC Past Accepting new patients

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1235101064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SUNSET RD STE 2C",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461126",
            "telephone_number": "609-871-9500",
            "fax_number": "609-871-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SUNSET RD STE 2C",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461126",
            "telephone_number": "609-871-9500",
            "fax_number": "609-871-7590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Sunset Rd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080461108",
            "country_code": "US",
            "telephone_number": "609-871-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWHOOK",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "MP000533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

Verify at the official NPI Registry.