Kimberley Ann Hernandez

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

00240700 Issued in NJ

Practice address

601 US Highway 9
Lanoka Harbor, NJ 08734-2213

Phone

(609) 242-2661

NPI assigned

Dec 17, 2021

Last updated

Dec 17, 2021By the provider in NPPES

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

Enrolled in NJ

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Link Home Services of NJ LLCGroup PAC ID 9133551765, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Link Home Services of NJ LLC

  • Physical Therapy Clinic/Center
  • Englewood Cliffs, NJ
  • NPI 1972072585

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1992465926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 BEACH LN",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502009",
            "telephone_number": "609-709-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 US HIGHWAY 9",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "087342213",
            "telephone_number": "609-242-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "KIMBERLEY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "00240700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Fraser, MA
• Marilyn B Gresh, LCSW
• Kavinder Singh Grewal, MD
• Michael Habib, D.M.D.
• Kari Marie Heinze, LSW
• Raymond Charles Howard, PT
• Swetaben A. Ibrahim
• Kassidy Alexis Isnardi, BA, CSW
• Elena Patricia Jackson, PT
• Jessica Vannest

• Speech-Language Pathologist in Lanoka Harbor, NJ
• Providers in Lanoka Harbor, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.