Kimberly Disanto

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

26NR07511000 Issued in NJ

Practice address

40 Dudley Dr
Bergenfield, NJ 07621-2614

Phone

(845) 782-0000

NPI assigned

Jul 30, 2025

Sex

Female

Sole proprietor

Yes

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)

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.

• Gamss Medical Consulting NJ PC

  • Emergency Medicine Physician
  • Bergenfield, NJ
  • NPI 1710860176

  Wound Care

  NPD

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1912880378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 DUDLEY DR",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 DUDLEY DR",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212614",
            "telephone_number": "845-782-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISANTO",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NJ",
            "license": "26NR07511000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Desilets, MD
• James Anthony Detura, R.PH.
• Louis Diamond, PA
• Paul Michael Diamond, MD
• Anyili Tatiana Digenio, MASSAGE THERAPIST
• Divine Dental LLC
• Young Tae DO, D.D.S.
• Stephanie Dobrinsky, OTRL
• Gloria Dones
• Rainier Dones, PT

• Wound Care Registered Nurse in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Wound Care Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.