Kimberly Menjivar, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

22HI01177400 Issued in NJ

Practice address

509 Orange St
Newark, NJ 07107-2128

Phone

(973) 481-5000

NPI assigned

Aug 1, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr. Michael J. Diamond, PA

  • General Practice Dentistry
  • Newark, NJ
  • NPI 1730301821
  NPD (past)
• Orange St Dental Associates LLC

  • General Practice Dentistry
  • Newark, NJ
  • NPI 1962944967

  Dental Hygienist

  NPD (past)

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1770210783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SPRUCE ST",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323531",
            "telephone_number": "201-496-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 ORANGE ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072128",
            "telephone_number": "973-481-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENJIVAR",
        "first_name": "KIMBERLY",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NJ",
            "license": "22HI01177400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "509 Orange St",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071072128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erika Michelle Mendez, RPH
• Jenniliz Mendez
• Dhruv Mendiratta, MD
• Fernanda Carla Mendoza Cervantes, DDS
• Maira Jocelyn Mendoza
• Leo Menkes, D.O.
• Sujoy Menon, MD
• Joshua Mensah
• Mental Specialty PC
• Migdalia Mercado

• Dental Hygienist in Newark, NJ
• Providers in Newark, NJ by specialty
• Dental Hygienist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.