Edwina Skiba King, APRN

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

26NC04861500 Issued in NJ

Practice address

53 Kossuth St
First Floor
Somerset, NJ 08873-2660

Phone

(732) 565-9224

Fax

(732) 565-9225

NPI assigned

Feb 2, 2007

Last updated

Dec 22, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Rutgers Nursing Faculty Practice

  dba Rutgers Community Health Center

  • Community Health Clinic/Center
  • Newark, NJ
  • NPI 1710475322
  NPD (past)
• Springfield Family Practice, LLC

  dba Summit Springfield Family Practice and Pediatrics

  • Family Medicine Physician
  • Summit, NJ
  • NPI 1861493215
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1326186982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 KOSSUTH ST",
            "address_2": "FIRST FLOOR",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732660",
            "telephone_number": "732-565-9224",
            "fax_number": "732-565-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 KOSSUTH ST",
            "address_2": "FIRST FLOOR",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732660",
            "telephone_number": "732-565-9224",
            "fax_number": "732-565-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "EDWINA",
        "middle_name": "SKIBA",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NC04861500",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NC04861500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Jinyoung Kim
• Hyon Kim, M.D.
• Sujung Kim
• Yumi Kim, MD
• Debra Ruth King, APN
• Keith King
• Mbalu King
• Kingdom Kidz Day Care, LLC
• Kingsdan Medical Supplies
• Jessica Jane Kipnes, ATC

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.