Christine Kim, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NR14289800 Issued in NJ

Practice address

15 Pinehurst Ave
Port Monmouth, NJ 07758-1427

Phone

(848) 218-1356

NPI assigned

Nov 29, 2012

Last updated

Jul 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Christine Brewer Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Immediate Care Medical Walk-in of Hazlet, PA

  • Urgent Care Clinic/Center
  • Hazlet, NJ
  • NPI 1245595313
  Medicare reassignment NPD
• Urgent Care Physicians of New Jersey, LLC

  • Emergency Medicine Physician
  • Red Bank, NJ
  • NPI 1447622402
  Medicare reassignment NPD
• Charles Louis Spellman, DO

  • Internal Medicine Physician
  • Long Branch, NJ
  • NPI 1932187895
  Medicare reassignment
• Charles L. Spellman, DO

  • Internal Medicine Physician
  • W Long Branch, NJ
  • NPI 1619082922
  NPD (past)
• Golding Granado Medical Associates

  • Internal Medicine Physician
  • Shrewsbury, NJ
  • NPI 1427243443
  NPD (past)
• Hospital Medicine of Monmouth County

  • Hospitalist Physician
  • Long Branch, NJ
  • NPI 1578715389
  NPD (past)

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1629313879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CHEYENNE ST",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077127753",
            "telephone_number": "848-218-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PINEHURST AVE",
            "city": "PORT MONMOUTH",
            "state": "NJ",
            "postal_code": "077581427",
            "telephone_number": "848-218-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHRISTINE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NR14289800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "BREWER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Home Stretch Consulting, LLC
• Horizon Mental Wellness LLC
• Christine Ibrahim, M.D.
• Yasmeen Jafry, MD
• Christopher Johnston, M.D.
• Tracey A Licciardi, RPH
• Ruth Marietta, RPH
• Lauren McGinley
• Kristen McGuire, LCSW
• Minding Miracles

• Nurse Practitioner in Port Monmouth, NJ
• Providers in Port Monmouth, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.