MRS. KIMBERLY DUDAS ANPC NPI 1659347177

NPI Information

NPI: 1659347177
Provider Name: MRS. KIMBERLY DUDAS, ANPC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
901 W MAIN ST
SUITE 106
FREEHOLD, NJ
ZIP 07728
Phone: (732) 461-0100
Get Directions

MRS. Kimberly Dudas, ANPC is an adult health nurse practitioner in Freehold, NJ. MRS. Kimberly Dudas, ANPC NPI is 1659347177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

901 W MAIN ST
SUITE 106
FREEHOLD, NJ
ZIP 07728-537
Phone: (732) 461-0100
Fax: (732) 780-0014

The enumeration date for this NPI number is 2/24/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	26NJ00037300	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	069940LOF	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	MEDICARE INDIVIDUAL
2	P89810	MEDICARE UPIN	NEW JERSEY
3	005191	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	MEDICARE GROUP
4	9132902	MEDICAID	NEW JERSEY
5	7461402	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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