Active NPIIndividual provider

Kimberly Bodenlos

Obstetrics & Gynecology, Maternal & Fetal Medicine in Livingston, New Jersey

NPI Number1265827869
Practice location
94 Old Short Hills RD, East Wing, Suite 402, Livingston, NJ 07039-1962
Fax
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Last updated
August 3, 2026

Kimberly Bodenlos is an Obstetrics & Gynecology, Maternal & Fetal Medicine based in Livingston, NJ. Kimberly Bodenlos practices in Livingston, NJ. The NPI Number for Kimberly Bodenlos is 1265827869 and holds a License No. 25MA10539800 (NJ). The current practice location address for Kimberly Bodenlos is 94 Old Short Hills RD, East Wing, Suite 402, Livingston, NJ 07039-1962 and can be reached out via phone at 973-322-5287.

Provider Profile Details

NPI Number
1265827869
Provider Name
Kimberly Bodenlos
Provider Entity Type
Individual
Gender
Female
Address
94 Old Short Hills RD, East Wing, Suite 402, Livingston, NJ 07039-1962
Phone Number
973-322-5287
Sole Proprietor
No
Provider Enumeration Date
March 31, 2015
Last Update Date
August 3, 2026
Certification Date
August 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
94 Old Short Hills RD
East Wing, Suite 402
Livingston, NJ 07039-1962
Zip
07039-1962
Phone Number
973-322-5287
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
94 Old Short Hills RD
Livingston, NJ 07039-5672
City
Livingston
State
NJ
Zip
07039-5672
Phone Number
973-322-5287

License Information

License Number (1)
25MA10539800
License State (1)
NJ
Taxonomy (1)
Obstetrics & Gynecology, Maternal & Fetal Medicine · 207VM0101X · Primary
License Number (2)
25MA10539800
License State (2)
NJ
Taxonomy (2)
Obstetrics & Gynecology · 207V00000X

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 Bodenlos?

The NPI number of Kimberly Bodenlos is 1265827869. It was assigned on March 31, 2015 and is currently active in the NPPES registry.

What is the specialty of Kimberly Bodenlos?

Kimberly Bodenlos is registered under the primary taxonomy Obstetrics & Gynecology, Maternal & Fetal Medicine (code 207VM0101X), licensed in NJ under license number 25MA10539800.

Where does Kimberly Bodenlos practice?

The practice location is 94 Old Short Hills RD, East Wing, Suite 402, Livingston, NJ 07039-1962. The office can be reached at 973-322-5287 (phone).

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 1265827869 directly on the NPPES registry website.

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