Kim Cahill

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

26NJ00562300 Issued in NJ

Practice address

505 Goffle Rd
Ridgewood, NJ 07450-4027

Phone

(201) 447-8584

Fax

(201) 447-8526

NPI assigned

Apr 21, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kim Marie Cahill Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1255728853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 GOFFLE RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504027",
            "telephone_number": "201-447-8584",
            "fax_number": "201-447-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 GOFFLE RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504027",
            "telephone_number": "201-447-8584",
            "fax_number": "201-447-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "KIM",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00562300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "CAHILL",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "APN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joanna Builes
• Stephanie Reeves Byers, MS, RDN
• Bianca S Cabri, DDS, MS
• Stephanie B Caddo, LCSW
• Brigid Caffrey
• John A. Caliso, PHD
• Gina Callocchia, NP
• Ronald Cally
• Robert H Cameron, O.D.
• Camp Sunshine and Camp Snowflake, Inc.

• Pediatric Nurse Practitioner in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.