KJ Wellness NP in Adult Health PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

KJ WELLNESS NP IN ADULT HEALTH PLLC

Practice address

445 Broadhollow Rd Ste 25
Suite 25
Melville, NY 11747-3645

Phone

(631) 223-8852

Fax

(631) 350-0331

NPI assigned

Nov 13, 2025

Organization subpart

No

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

Authorized official

Name

Kimberly Johnson, NP, RNNPI 1295197523

Title

Owner

Phone

(631) 336-0190

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Johnson, RN, NP

  • Adult Health Nurse Practitioner
  • Melville, NY
  • NPI 1295197523
  NPD Authorized official

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1740140664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 BROADHOLLOW RD STE 25",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473645",
            "telephone_number": "631-336-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BROADHOLLOW RD STE 25",
            "address_2": "SUITE 25",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473645",
            "telephone_number": "631-223-8852",
            "fax_number": "631-350-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJ WELLNESS NP IN ADULT HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-336-0190",
        "authorized_official_credential": "NP, RN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aram A Kirkorian, DDS
• Amy Kirschenblatt, LCSW
• Asha Brianna Kissoon
• Nadia Kisten
• Julie Kittleman
• Klearscin Holistic LLC
• Bridget Laurann Klein
• Samantha Klein
• Brian R Klopman
• Bertram L. Kohn, D.D.S.

• Nurse Practitioner in Melville, NY
• Providers in Melville, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.