Kimbreya Elese Otey, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00678200 Issued in NJ

Practice address

26 Highway 35 N
Neptune, NJ 07753-4743

Phone

(732) 456-7777

Fax

(848) 251-2189

NPI assigned

Nov 21, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Dermone Dermatology Associates of the Garden State, PC

  • MOHS-Micrographic Surgery Physician
  • Freehold, NJ
  • NPI 1053771048
  NPD
• NJ Certified Dermatology PC

  • Dermatology Physician
  • Allentown, PA
  • NPI 1326496241
  NPD (past)

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1831632090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 LAKEWOOD RD",
            "address_2": "SUITE 16",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087553287",
            "telephone_number": "732-456-7777",
            "fax_number": "848-251-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 HIGHWAY 35 N",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534743",
            "telephone_number": "732-456-7777",
            "fax_number": "848-251-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTEY",
        "first_name": "KIMBREYA",
        "middle_name": "ELESE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00678200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Onsite Lifecare of NJ, Inc.
• Kylie Oppegaard, MD
• James F Orlando, M.D.
• Evan Orosz, DO
• Melissa L. Osofsky, APN
• Michael Ottaviano, DMD
• Taylor Jeanne Ouellette
• Pain Institute of New Jersey, PA
• Ashlee Paknis, PA-C
• Harpreet Pall, MD

• Family Nurse Practitioner in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.