Individual provider Active NPI

Jill Kathleen Timmes, NP

  • Rehabilitation Practitioner
  • Somerset, NJ
National Provider Identifier
1568536696
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
26N010410400 Issued in NJ
Practice address
100 Franklin Square Drive
Suite 201
Somerset, NJ 08873-4109
Phone
(908) 429-7799
Fax
(866) 611-9616
NPI assigned
Nov 20, 2006
Last updated
Jul 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X 26N010410400 NJ Primary

Addresses

Primary practice location

100 Franklin Square Drive
Suite 201
Somerset, NJ 08873-4109

Mailing address

100 Franklin Square Drive
Suite 201
Somerset, NJ 08873-4109
Phone (908) 429-7799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26N010410400NJMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Kolasa MD PA PastSince Nov 29, 2010 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1568536696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FRANKLIN SQUARE DRIVE",
            "address_2": "SUITE 201",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734109",
            "telephone_number": "908-429-7799",
            "fax_number": "866-611-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FRANKLIN SQUARE DRIVE",
            "address_2": "SUITE 201",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734109",
            "telephone_number": "908-429-7799",
            "fax_number": "866-611-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMES",
        "first_name": "JILL",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NJ",
            "license": "26N010410400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.