Individual provider Active NPI

Kimberly Thomas, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Piscataway, NJ
National Provider Identifier
1306924618
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15287600 Issued in NJ
Practice address
671 Hoes LN
Piscataway, NJ 08854-5627
Phone
(800) 969-5300
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15287600 NJ Primary
Registered Nurse 163W00000X 26NO11676300 NJ

Addresses

Primary practice location

671 Hoes LN
Piscataway, NJ 08854-5627

Mailing address

671 Hoes LN
P. O. Box 1392
Piscataway, NJ 08854-5627
Phone (732) 235-5940

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
I20250909003818 NJ Practitioner - Nurse Practitioner 8820591647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Azz Medical Associates PCGroup PAC ID 6002132685, 63 clinicians

Practice addresses (Care Compare)

1550 Park Ave
Suite 102
South Plainfield, NJ 07080-5565
Phone (609) 890-1050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NO11676300NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Azz Medical Associates PC CurrentSince Aug 1, 2025 Accepting new patients

Locations

631 Broadway
Ste B2
Bayonne, NJ 07002
Phone (201) 823-4400

1440 Pennington Rd
Ste 1
Ewing, NJ 08618
Phone (609) 422-7928

1550 Park Ave
Ste 102
South Plainfield, NJ 07080
Phone (908) 561-6851

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1306924618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 HOES LN",
            "address_2": "P. O. BOX 1392",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545627",
            "telephone_number": "732-235-5940",
            "fax_number": "732-235-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 HOES LN",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545627",
            "telephone_number": "800-969-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KIMBERLY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15287600",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NO11676300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.