Albert Kwimi, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ15034600 Issued in NJ

Practice address

22 Woodfield Rd
Green Township, NJ 07821-2001

Phone

(240) 421-5451

NPI assigned

Jun 14, 2012

Last updated

Mar 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Sibaven Medical Associates and Logistics

  dba Serenity at Summit

  • Psychiatric/Mental Health Nurse Practitioner
  • Union, NJ
  • NPI 1932917713
  Medicare reassignment NPD Authorized official
• Albert NP in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
  • NPI 1326943655
  Authorized official Same address or phone
• Nissi Health Care Services, LLC.

  • Nursing Care Agency
  • Washington, DC
  • NPI 1225394463
  NPD (past) Authorized official
• Nissi Homes

  • Intellectual Disabilities Intermediate Care Facility
  • Washington, DC
  • NPI 1457614257
  NPD (past) Authorized official

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710547200000",
    "number": "1356603344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WOODFIELD RD",
            "city": "GREEN TOWNSHIP",
            "state": "NJ",
            "postal_code": "078212001",
            "telephone_number": "240-421-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WOODFIELD RD",
            "city": "GREEN TOWNSHIP",
            "state": "NJ",
            "postal_code": "078212001",
            "telephone_number": "240-421-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWIMI",
        "first_name": "ALBERT",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2024-03-16",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15034600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Rene Centrelli-Tischner, D.C.
• Adrian Sergio Cuello
• Fit and Centered LLC
• Ashley B Jaya

• Psychiatric/Mental Health Nurse Practitioner in Green Township, NJ
• Providers in Green Township, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.