Kingdom Kidz Day Care, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

KINGDOM KIDZ DAY CARE, LLC

Practice address

24 Baier Ave
Somerset, NJ 08873-2571

Phone

(732) 246-2724

Fax

(732) 246-2725

NPI assigned

Sep 10, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Audrey McNulty

Title

Owner

Phone

(732) 246-2724

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1578964482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BAIER AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732571",
            "telephone_number": "732-246-2724",
            "fax_number": "732-246-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BAIER AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732571",
            "telephone_number": "732-246-2724",
            "fax_number": "732-246-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM KIDZ DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-246-2724",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yumi Kim, MD
• Debra Ruth King, APN
• Edwina Skiba King, APRN
• Keith King
• Mbalu King
• Kingsdan Medical Supplies
• Jessica Jane Kipnes, ATC
• Kishori Shah MD
• Kelly Klikus
• Kimberly M Klikus, PTA

• Early Intervention Provider Agency in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Early Intervention Provider Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.