Provider Demographics
NPI:1558120873
Name:JAVIER, KIMBERLY-ANNE PINTO (NP)
Entity Type:Individual
Prefix:
First Name:KIMBERLY-ANNE
Middle Name:PINTO
Last Name:JAVIER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 SANDBURG DR
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1444
Mailing Address - Country:US
Mailing Address - Phone:732-439-9325
Mailing Address - Fax:
Practice Address - Street 1:147 PIERCE ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-4176
Practice Address - Country:US
Practice Address - Phone:732-838-4942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15015000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily