Tiffany Lynn Kimble, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ15227900 Issued in NJ

Practice address

4 Bypass Rd Ste 104
Salem, NJ 08079-2053

Phone

(856) 887-3005

Fax

(856) 753-4035

NPI assigned

Dec 6, 2024

Last updated

Dec 6, 2024By the provider in NPPES

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

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Care of South JerseyGroup PAC ID 8820389257, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Complete Care of South Jersey

  • Nephrology Physician
  • Salem, NJ
  • NPI 1518320555
  Medicare reassignment Care Compare group NPD
• Tri State Nephrologists LLC

  • Nephrology Physician
  • Salem, NJ
  • NPI 1538514666
  Medicare reassignment NPD
• Sultan Seretis Bussey Hospitalist LLC

  dba SSB Hospitalist

  • Family Medicine Physician
  • Salem, NJ
  • NPI 1457792699
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Inspira Medical Centers, Inc.

  dba Inspira Medical Center Elmer

  • General Acute Care Hospital
  • Elmer, NJ
  • NPI 1255396024
  Care Compare affiliation
• Inspira Medical Centers, Inc.

  dba Inspira Medical Center Mullica Hill

  • General Acute Care Hospital
  • Mullica Hill, NJ
  • NPI 1366097032
  Care Compare affiliation
• South Jersey Hospital, Inc.

  dba SJH Sports Rehab Care - Tomlin Station

  • Physical Therapy Clinic/Center
  • Mullica Hill, NJ
  • NPI 1609158732

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1861208670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BYPASS RD STE 104",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080792053",
            "telephone_number": "856-887-3005",
            "fax_number": "856-753-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BYPASS RD STE 104",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080792053",
            "telephone_number": "856-887-3005",
            "fax_number": "856-753-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "TIFFANY",
        "middle_name": "LYNN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15227900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Johnson, LPN
• Joseph Potosky OD
• Prabhjot Kalsi, MD
• Samuel Kaslon
• Mir Faizan Ali Khan
• Paul R Kouyoumdji, MD
• Julianna Michele Kreusel
• Joseph A Lacavera III, D.O.
• Jacquelyn Laspada
• Legacy Treatment Serivces, Inc.

• Family Nurse Practitioner in Salem, NJ
• Providers in Salem, 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 Dec 6, 2024; 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.

Verify at the official NPI Registry.