Organization Active NPI

NJ Omm

  • Neuromusculoskeletal Medicine & OMM Physician
  • Branchburg, NJ
National Provider Identifier
1245063908
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
NJ OMM
Practice address
3322 US Highway 22 Ste 1008
Branchburg, NJ 08876-4403
Phone
(908) 219-7965
Fax
(866) 531-7548
NPI assigned
Aug 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Kimberlee Wing Quan, DONPI 1033776430
Title
Owner
Phone
(908) 219-7965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X Primary

Addresses

Primary practice location

3322 US Highway 22 Ste 1008
Branchburg, NJ 08876-4403

Mailing address

3322 US Highway 22 Ste 1008
Branchburg, NJ 08876-4403
Phone (908) 219-7965

Other names 1

  • NJ Osteopathic Manipulation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250205001291 NJ Part B Supplier - Clinic/Group Practice 7517497654 Receives reassigned benefits from 1 practitioner
Practice locations: Branchburg, NJ

National Provider Directory

National Provider Directory

Locations

3322 US Highway 22 W
Ste 1008
Branchburg, NJ 08876
Phone (201) 233-4006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1245063908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 US HIGHWAY 22 STE 1008",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088764403",
            "telephone_number": "908-219-7965",
            "fax_number": "866-531-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 US HIGHWAY 22 STE 1008",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088764403",
            "telephone_number": "908-219-7965",
            "fax_number": "866-531-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ OMM",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "WING QUAN",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-219-7965",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NJ Osteopathic Manipulation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Branchburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.