Individual provider Active NPI

Kimberly Geria, DNP, APN, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Bridgeton, NJ
National Provider Identifier
1801266069
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00682200 Issued in NJ
Practice address
53 S Laurel St
2ND Floor
Bridgeton, NJ 08302-1946
Phone
(856) 451-4700
NPI assigned
Sep 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR13726000 NJ
Primary Care Nurse Practitioner 363LP2300X 26NJ00682200 NJ Primary

Addresses

Primary practice location

53 S Laurel St
2ND Floor
Bridgeton, NJ 08302-1946

Mailing address

7 N 35TH Ave
Longport, NJ 08403-1614

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170322000425 NJ Practitioner - Nurse Practitioner 2860777430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Care, Inc.Group PAC ID 9335040419, 126 clinicians

Practice addresses (Care Compare)

335 Delsea Dr N
Glassboro, NJ 08028-1403
Phone 85645147002755

3700 New Jersey Ave
Wildwood, NJ 08260-6154
Phone (856) 451-4700

785 W Sherman Ave
Vineland, NJ 08360-6913
Phone (856) 451-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR13726000NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Jan 10, 2017 Accepting new patients
Community Health Care, Inc. CurrentSince Jan 10, 2017 Accepting new patients
Cooper University Hospital Cape Regional Inc Past Accepting new patients
Community Health Care, Inc. Past Accepting new patients

Locations

53 S Laurel St
#2
Bridgeton, NJ 08302

30 N Pearl St
Bridgeton, NJ 08302

335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755

1255 W Landis Ave
Vineland, NJ 08360
Phone (856) 794-2989

3700 New Jersey Ave
Wildwood, NJ 08260
Phone (609) 465-0258

Interoperability endpoints

  • Direct secure messaging: kimberly.geria.p1@direct.cchn.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1801266069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N 35TH AVE",
            "city": "LONGPORT",
            "state": "NJ",
            "postal_code": "084031614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 S LAUREL ST",
            "address_2": "2ND FLOOR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021946",
            "telephone_number": "856-451-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERIA",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "DNP, APN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR13726000",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00682200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, NJ

Sources for this page

Verify at the official NPI Registry.