Kim Fallon, Apn, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00062300 Issued in NJ

Legal business name

KIM FALLON, APN, LLC

Practice address

440 Commons Way
Building D
Toms River, NJ 08755-6428

Phone

(732) 281-1211

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Kim Marie Fallon, APN

Title

Owner

Phone

(732) 281-1211

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922212554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 COMMONS WAY",
            "address_2": "BUILDING D",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556428",
            "telephone_number": "732-281-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 COMMONS WAY",
            "address_2": "BUILDING D",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556428",
            "telephone_number": "732-281-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM FALLON, APN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FALLON",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-281-1211",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00062300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Khaykin, MD
• Ami Khetani, DMD
• Cyrus Khorrami, M.D.
• Sam Khorrami, PH.D.
• Frank John Killian, DPM
• Kim Lambert Counseling Services, LLC
• Brian H Kim, MD
• Joonha Josiah Kim
• Sang K Kim, M.D
• Suk W Kim, MD

• Psychiatric/Mental Health Nurse Practitioner in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.