Individual provider Active NPI

Kimberly Monestime, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, NJ
National Provider Identifier
1497200018
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00988100 Issued in NJ
Practice address
285 Madison Ave
Madison, NJ 07940-1006
Phone
(973) 443-8535
Fax
(973) 443-8174
NPI assigned
Aug 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2310614 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61526102 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95013035 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00988100 NJ Primary

Addresses

Primary practice location

285 Madison Ave
Madison, NJ 07940-1006

Mailing address

285 Madison Ave
Madison, NJ 07940-1006

Other practice location 1

1000 River Rd
Teaneck, NJ 07666-1938
Phone (201) 692-2437

Other practice location 2

1682 Novato Blvd
Novato, CA 94947-7000
Phone (415) 473-2959

Other practice location 3

2933 Vauxhall Rd
Vauxhall, NJ 07088-1260
Phone (973) 434-5030

Other practice location 4

58 Old Colony Ave
Boston, MA 02127
Phone (617) 268-1700

Other practice location 5

134 State St
Meriden, CT 06450-3293
Phone (203) 237-2229

Other identifiers 1

IdentifierTypeStateIssuer
0836184MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200427001898 CA Practitioner - Nurse Practitioner 1658708789 Reassigns benefits to 1 organization
I20201020002460 NJ Practitioner - Nurse Practitioner 1658708789 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Mountainside, NJ 07092
Phone (973) 434-5030

147 Oswald PL
Vauxhall, NJ 07088-1413

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2310614MAMDPsychiatric/Mental Health Nurse Practitioner
AP61526102WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Telenp Health PLLC Psychiatric/Mental Health CurrentSince Feb 27, 2024 Accepting new patients
County of Marin CurrentSince Jan 25, 2020 Accepting new patients
The NP Promise Psychiatric/Mental Health CurrentSince Aug 15, 2025 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Aug 31, 2020 Accepting new patients
County of Marin CurrentSince Jan 25, 2020 Accepting new patients
JLS Medical PC Psychiatric/Mental Health CurrentSince Jun 9, 2023 Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation PastSince Jun 9, 2023 Accepting new patients
County of Marin PastSince Dec 1, 2019 Accepting new patients

Locations

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

1682 Novato Blvd
Ste 105
Novato, CA 94947
Phone (415) 473-2721

310 Madison Ave
Ste 220
Morristown, NJ 07960
Phone (973) 267-1238

1199 US Highway 22
Mountainside, NJ 07092
Phone (848) 359-9130

550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525

2933 Vauxhall Rd
Vauxhall, NJ 07088
Phone (908) 378-1101

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Organizations & group practices 8

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": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1497200018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 MADISON AVE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MADISON AVE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401006",
            "telephone_number": "973-443-8535",
            "fax_number": "973-443-8174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 River Rd",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076661938",
            "country_code": "US",
            "telephone_number": "201-692-2437",
            "fax_number": "201-692-2642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1682 Novato Blvd",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949477000",
            "country_code": "US",
            "telephone_number": "415-473-2959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2933 Vauxhall Rd",
            "address_purpose": "LOCATION",
            "city": "Vauxhall",
            "state": "NJ",
            "postal_code": "070881260",
            "country_code": "US",
            "telephone_number": "973-434-5030",
            "fax_number": "800-854-3471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58 Old Colony Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02127",
            "country_code": "US",
            "telephone_number": "617-268-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "134 State St",
            "address_purpose": "LOCATION",
            "city": "Meriden",
            "state": "CT",
            "postal_code": "064503293",
            "country_code": "US",
            "telephone_number": "203-237-2229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONESTIME",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2310614",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61526102",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95013035",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00988100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0836184",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, NJ

Sources for this page

Verify at the official NPI Registry.