Active NPI
Kimberly Ni, MD
- Family Medicine Physician
- Medford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA10617300
- Practice address
- 128 Route 70 Ste Aandb
Medford, NJ 08055-2371 - Phone
- (609) 953-7105
- Fax
- (609) 953-7110
- NPI assigned
- Apr 14, 2014
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA10617300 | NJ | Primary |
Addresses
Primary practice location
128 Route 70 Ste Aandb
Medford, NJ 08055-2371
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (609) 953-7105
Other practice location 1
158 Route 73 Ste B
Voorhees, NJ 08043-9539
Phone (856) 247-7230
Other practice location 2
602 W Cuthbert Blvd Unit 26
Haddon Township, NJ 08108-3642
Phone (856) 946-5180
Other practice location 3
128 Route 70 Ste 1
Medford, NJ 08055-2371
Phone (609) 367-0900
Other practice location 4
315 Route 70 E Ste A
Cherry Hill, NJ 08034-2408
Phone (856) 375-6240
Other practice location 5
75 S White Horse Pike
Hammonton, NJ 08037-1872
Phone (856) 325-3200
Other practice location 6
239 Hurffville Crosskeys Rd Ste 160
Sewell, NJ 08080-4005
Phone (856) 341-8200
Other practice location 7
401 Young Ave Ste 180
Moorestown, NJ 08057-3139
Phone (856) 291-8600
Other practice location 8
555 High St Ste 16A
Mount Holly, NJ 08060-1084
Phone (609) 444-5610
Other practice location 9
141 Bridgeton Pike Unit B
Mullica Hill, NJ 08062-2615
Phone (856) 746-0206
Electronic endpoints 10
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kni105421@directvirtua.org | ||
| Direct Messaging Address | kni105421@directvirtua.org | ||
| Direct Messaging Address | kni105421@directvirtua.org | ||
| Direct Messaging Address | kni105421@directvirtua.org | ||
| Direct Messaging Address | kni105421@directvirtua.org | ||
| Direct Messaging Address | kni105421@directvirtua.org | ||
| Direct Messaging Address | kni105421@directvirtua.org | ||
| Direct Messaging Address | kni105421@directvirtua.org | ||
| Direct Messaging Address | kni105421@directvirtua.org | ||
| Direct Messaging Address | kni105421@directvirtua.org |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
128 Route 70
Medford, NJ 08055-2371
Phone (609) 953-7105
Hospital & facility affiliations
- Virtua Home Care at West Jersey
- Bayada Home Health Care, Inc
- Virtua Mount Holly Hospital
- West Jersey Hospital
- Virtua Our Lady of Lourdes Hospital
- Cooper University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290771 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Family Medicine | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
315 Route 70 E
Ste A
Cherry Hill, NJ 08034
Phone (856) 375-6240
602 W Cuthbert Blvd
Unit 26
Haddon Township, NJ 08108
Phone (856) 946-5180
75 S White Horse Pike
Hammonton, NJ 08037
Phone (856) 325-3200
303 Lippincott Dr
Marlton, NJ 08053
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
301 Lippincott Dr
Ste 120
Marlton, NJ 08053
Phone (856) 355-0333
141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373
128 Route 70
Medford, NJ 08055
Phone (609) 367-0900
128 Route 70
Ste Ab
Medford, NJ 08055
Phone (609) 953-7105
128 Route 70
Ste 1
Medford, NJ 08055
Phone (609) 367-0900
401 Young Ave
Ste 180
Moorestown, NJ 08057
Phone (856) 291-8600
555 High St
Ste 16A
Mount Holly, NJ 08060
Phone (609) 444-5610
141 Bridgeton Pike
Unit B
Mullica Hill, NJ 08062
Phone (856) 746-0206
239 Hurffville Crosskeys Rd
Ste 160
Sewell, NJ 08080
Phone (856) 341-8200
158 Route 73
#B
Voorhees, NJ 08043
Phone (856) 247-7230
Organizations & group practices 3
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
- Marlton, NJ
- NPI 1649226515
-
- Urgent Care Clinic/Center
- Moorestown, NJ
- NPI 1184174849
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pennsauken, NJ
- NPI 1275580615
-
- Home Health Agency
- Moorestown, NJ
- NPI 1366716565
-
- Home Health Agency
- Woodbury, NJ
- NPI 1710284005
-
- Home Health Agency
- Egg Harbor Township, NJ
- NPI 1790730109
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
-
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
-
- Home Health Agency
- Marlton, NJ
- NPI 1316943004
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1235134024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1780003244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LIPPINCOTT DR STE 410",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534197",
"telephone_number": "609-953-7105",
"fax_number": "609-953-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 ROUTE 70 STE AANDB",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080552371",
"telephone_number": "609-953-7105",
"fax_number": "609-953-7110"
}
],
"practiceLocations": [
{
"address_1": "158 Route 73 Ste B",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "080439539",
"country_code": "US",
"telephone_number": "856-247-7230",
"fax_number": "856-247-7231",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "602 W Cuthbert Blvd Unit 26",
"address_purpose": "LOCATION",
"city": "Haddon Township",
"state": "NJ",
"postal_code": "081083642",
"country_code": "US",
"telephone_number": "856-946-5180",
"fax_number": "856-946-5181",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "128 Route 70 Ste 1",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "NJ",
"postal_code": "080552371",
"country_code": "US",
"telephone_number": "609-367-0900",
"fax_number": "609-367-0901",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "315 Route 70 E Ste A",
"address_purpose": "LOCATION",
"city": "Cherry Hill",
"state": "NJ",
"postal_code": "080342408",
"country_code": "US",
"telephone_number": "856-375-6240",
"fax_number": "856-375-6241",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 S White Horse Pike",
"address_purpose": "LOCATION",
"city": "Hammonton",
"state": "NJ",
"postal_code": "080371872",
"country_code": "US",
"telephone_number": "856-325-3200",
"fax_number": "856-325-5188",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "239 Hurffville Crosskeys Rd Ste 160",
"address_purpose": "LOCATION",
"city": "Sewell",
"state": "NJ",
"postal_code": "080804005",
"country_code": "US",
"telephone_number": "856-341-8200",
"fax_number": "856-341-8215",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 Young Ave Ste 180",
"address_purpose": "LOCATION",
"city": "Moorestown",
"state": "NJ",
"postal_code": "080573139",
"country_code": "US",
"telephone_number": "856-291-8600",
"fax_number": "856-291-8610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "555 High St Ste 16A",
"address_purpose": "LOCATION",
"city": "Mount Holly",
"state": "NJ",
"postal_code": "080601084",
"country_code": "US",
"telephone_number": "609-444-5610",
"fax_number": "609-444-5611",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "141 Bridgeton Pike Unit B",
"address_purpose": "LOCATION",
"city": "Mullica Hill",
"state": "NJ",
"postal_code": "080622615",
"country_code": "US",
"telephone_number": "856-746-0206",
"fax_number": "856-746-0207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NI",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-14",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA10617300",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kni105421@directvirtua.org",
"affiliation": "N",
"address_1": "141 Bridgeton Pike Unit B",
"city": "Mullica Hill",
"state": "NJ",
"country_code": "US",
"postal_code": "080622615",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kni105421@directvirtua.org",
"affiliation": "N",
"address_1": "239 Hurffville Crosskeys Rd Ste 160",
"city": "Sewell",
"state": "NJ",
"country_code": "US",
"postal_code": "080804005",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kni105421@directvirtua.org",
"affiliation": "N",
"address_1": "555 High St Ste 16A",
"city": "Mount Holly",
"state": "NJ",
"country_code": "US",
"postal_code": "080601084",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kni105421@directvirtua.org",
"affiliation": "N",
"address_1": "401 Young Ave Ste 180",
"city": "Moorestown",
"state": "NJ",
"country_code": "US",
"postal_code": "080573139",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kni105421@directvirtua.org",
"affiliation": "N",
"address_1": "128 Route 70 Ste 1",
"city": "Medford",
"state": "NJ",
"country_code": "US",
"postal_code": "080552371",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kni105421@directvirtua.org",
"affiliation": "N",
"address_1": "315 Route 70 E Ste A",
"city": "Cherry Hill",
"state": "NJ",
"country_code": "US",
"postal_code": "080342408",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kni105421@directvirtua.org",
"affiliation": "N",
"address_1": "75 S White Horse Pike",
"city": "Hammonton",
"state": "NJ",
"country_code": "US",
"postal_code": "080371872",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kni105421@directvirtua.org",
"affiliation": "N",
"address_1": "128 Route 70 Ste Aandb",
"city": "Medford",
"state": "NJ",
"country_code": "US",
"postal_code": "08055",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kni105421@directvirtua.org",
"affiliation": "N",
"address_1": "158 Route 73 Ste B",
"city": "Voorhees",
"state": "NJ",
"country_code": "US",
"postal_code": "080439539",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kni105421@directvirtua.org",
"affiliation": "N",
"address_1": "602 W Cuthbert Blvd Unit 26",
"city": "Haddon Township",
"state": "NJ",
"country_code": "US",
"postal_code": "081083642",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Medford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.