Provider Demographics
NPI:1639606197
Name:MODY, RIMPLE K (APN-C)
Entity Type:Individual
Prefix:MRS
First Name:RIMPLE
Middle Name:K
Last Name:MODY
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:
Other - First Name:ROMALI
Other - Middle Name:
Other - Last Name:MODY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 ANDERSON HILL RD STE 102
Mailing Address - Street 2:
Mailing Address - City:BERNARDSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07924-2351
Mailing Address - Country:US
Mailing Address - Phone:908-696-0808
Mailing Address - Fax:
Practice Address - Street 1:1 ANDERSON HILL RD STE 102
Practice Address - Street 2:
Practice Address - City:BERNARDSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07924-2351
Practice Address - Country:US
Practice Address - Phone:908-696-0808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-16
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00732200363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care