Active NPI
Kimberly Jung
- Professional Counselor
- Cranford, NJ
National Provider Identifier
1255687588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00317400
- Practice address
- 216 North Ave E
Cranford, NJ 07016-2473 - Phone
- (908) 272-7500
- NPI assigned
- Jul 24, 2012
- Last updated
- Jul 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00317400 | NJ | Primary |
Addresses
Primary practice location
216 North Ave E
Cranford, NJ 07016-2473
Mailing address
5B Beech Spring Dr
Summit, NJ 07901-1179
Phone (908) 516-2995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00317400 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1255687588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5B BEECH SPRING DR",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079011179",
"telephone_number": "908-516-2995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 NORTH AVE E",
"city": "CRANFORD",
"state": "NJ",
"postal_code": "070162473",
"telephone_number": "908-272-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "KIMBERLY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00317400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cranford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.