Active NPI
Kimberly Dudas, ANPC
- Adult Health Nurse Practitioner
- Freehold, NJ
National Provider Identifier
1659347177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00037300
- Practice address
- 901 W Main St
Suite 106
Freehold, NJ 07728-2537 - Phone
- (732) 461-0100
- Fax
- (732) 780-0014
- NPI assigned
- Feb 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00037300 | NJ | Primary |
Addresses
Primary practice location
901 W Main St
Suite 106
Freehold, NJ 07728-2537
Mailing address
17 Broad St
Freehold, NJ 07728-1703
Phone (732) 461-9622
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7461402 | Medicaid | NJ | |
| 9132902 | Medicaid | NJ |
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00037300 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centrastate Medical Associates PC | Past | Accepting new patients | |
| Kenneth Faistl, MD,PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Freehold, NJ
- NPI 1346476793
-
- Family Medicine Physician
- Freehold, NJ
- NPI 1942277223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1659347177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 BROAD ST",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077281703",
"telephone_number": "732-461-9622",
"fax_number": "732-780-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W MAIN ST",
"address_2": "SUITE 106",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282537",
"telephone_number": "732-461-0100",
"fax_number": "732-780-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDAS",
"first_name": "KIMBERLY",
"name_prefix": "Mrs.",
"credential": "ANPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00037300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7461402",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9132902",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.