Active NPIIndividual provider

Kimberly Meserole, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Ridgewood, New Jersey

NPI Number1104792548
Practice location
216 E Ridgewood Ave Ste 3B, Ridgewood, NJ 07450-3849
Fax
551-212-3041
Last updated
January 26, 2026

Kimberly Meserole is a Nurse Practitioner, Psych/Mental Health based in Ridgewood, NJ. Kimberly Meserole practices in Ridgewood, NJ and has the professional credentials of PMHNP-BC. The NPI Number for Kimberly Meserole is 1104792548 and holds a License No. 26NJ15425100 (NJ). The current practice location address for Kimberly Meserole is 216 E Ridgewood Ave Ste 3B, Ridgewood, NJ 07450-3849 and can be reached out via phone at 551-288-6543 and via fax at 551-212-3041.

Provider Profile Details

NPI Number
1104792548
Provider Name
Kimberly Meserole
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
216 E Ridgewood Ave Ste 3B, Ridgewood, NJ 07450-3849
Phone Number
551-288-6543
Fax Number
551-212-3041
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
October 14, 2025
Last Update Date
January 26, 2026
Certification Date
January 26, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
216 E Ridgewood Ave Ste 3B
Ridgewood, NJ 07450-3849
Zip
07450-3849
Phone Number
551-288-6543
Fax Number
551-212-3041
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
216 E Ridgewood Ave Ste 3B
Ridgewood, NJ 07450-3849
City
Ridgewood
State
NJ
Zip
07450-3849

License Information

License Number
26NJ15425100
License State
NJ
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kimberly Meserole, PMHNP-BC?

The NPI number of Kimberly Meserole, PMHNP-BC is 1104792548. It was assigned on October 14, 2025 and is currently active in the NPPES registry.

What is the specialty of Kimberly Meserole, PMHNP-BC?

Kimberly Meserole, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ15425100.

Where does Kimberly Meserole, PMHNP-BC practice?

The practice location is 216 E Ridgewood Ave Ste 3B, Ridgewood, NJ 07450-3849. The office can be reached at 551-288-6543 (phone) or 551-212-3041 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104792548 directly on the NPPES registry website.

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