Organization Active NPI

Kinfolk Family Health NP, PLLC

  • Family Nurse Practitioner
  • Montclair, NJ
National Provider Identifier
1982176376
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
KINFOLK FAMILY HEALTH NP, PLLC
Practice address
292 Bloomfield Ave FL 2
Montclair, NJ 07042-3624
Phone
(973) 500-6773
Fax
(973) 453-4066
NPI assigned
Dec 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Authorized official

Name
Dr. Rakiyah Jones, DNP, FNP-BC
Title
Owner
Phone
(973) 500-6773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

292 Bloomfield Ave FL 2
Montclair, NJ 07042-3624

Mailing address

16 Eastwood St
East Orange, NJ 07017-2013
Phone (973) 500-6773

Other practice location 1

16 Eastwood St
East Orange, NJ 07017
Phone (973) 592-6181

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1545436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1982176376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 EASTWOOD ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070172013",
            "telephone_number": "973-500-6773",
            "fax_number": "973-453-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 BLOOMFIELD AVE FL 2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423624",
            "telephone_number": "973-500-6773",
            "fax_number": "973-453-4066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Eastwood St",
            "address_purpose": "LOCATION",
            "city": "East Orange",
            "state": "NJ",
            "postal_code": "07017",
            "country_code": "US",
            "telephone_number": "973-592-6181",
            "fax_number": "888-816-4307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINFOLK FAMILY HEALTH NP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-22",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RAKIYAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-500-6773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.