Organization Active NPI

Karefirst New Jersey PC

  • Nurse Practitioner
  • Shrewsbury, NJ
National Provider Identifier
1912899311
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
KAREFIRST NEW JERSEY PC
Practice address
766 Broad St
Shrewsbury, NJ 07702-4203
Phone
(847) 235-6130
Fax
(847) 235-6135
NPI assigned
Jul 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Kimberly R Wilson, RN, MSN, APNNPI 1538451141
Title
President
Phone
(847) 235-6127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

766 Broad St
Shrewsbury, NJ 07702-4203

Mailing address

6348 N Milwaukee Ave Ste 390
Chicago, IL 60646-3728
Phone (847) 235-6130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260127001939 NJ Part B Supplier - Clinic/Group Practice 5799262259 Receives reassigned benefits from 5 practitioners
Practice locations: Middletown, NJ; Mountainside, NJ; Shrewsbury, NJ; Westfield, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1912899311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6348 N MILWAUKEE AVE STE 390",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463728",
            "telephone_number": "847-235-6130",
            "fax_number": "847-235-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 BROAD ST",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024203",
            "telephone_number": "847-235-6130",
            "fax_number": "847-235-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREFIRST NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-235-6127",
        "authorized_official_credential": "RN, MSN, APN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.