Active NPIIndividual providerSole proprietor

Miss Kimberly Y Gong, BA, MS

Specialist/Technologist, Athletic Trainer in Kenvil, New Jersey

NPI Number1518599612
Practice location
25 N 1ST Ave, Kenvil, NJ 07847-2500
Fax
—
Last updated
December 29, 2020

Kimberly Y Gong is a Specialist/Technologist, Athletic Trainer based in Kenvil, NJ. Kimberly Y Gong practices in Kenvil, NJ and has the professional credentials of BA, MS. The NPI Number for Kimberly Y Gong is 1518599612. The current practice location address for Kimberly Y Gong is 25 N 1ST Ave, Kenvil, NJ 07847-2500 and can be reached out via phone at 973-229-7137.

Provider Profile Details

NPI Number
1518599612
Provider Name
Kimberly Y Gong
Credential
BA, MS
Provider Entity Type
Individual
Gender
Female
Address
25 N 1ST Ave, Kenvil, NJ 07847-2500
Phone Number
973-229-7137
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
February 6, 2020
Last Update Date
December 29, 2020
Certification Date
December 29, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 N 1ST Ave
Kenvil, NJ 07847-2500
City
Kenvil
Zip
07847-2500
Phone Number
973-229-7137
Kenvil, NJ 07847Get directions →

Provider Business Mailing Address Details

Address
1000 Conway Dr Apt 202
Williamsburg, VA 23185-3840
City
Williamsburg
State
VA
Zip
23185-3840
Phone Number
973-229-7137

License Information

Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · 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 Miss Kimberly Y Gong, BA, MS?

The NPI number of Miss Kimberly Y Gong, BA, MS is 1518599612. It was assigned on February 6, 2020 and is currently active in the NPPES registry.

What is the specialty of Miss Kimberly Y Gong, BA, MS?

Miss Kimberly Y Gong, BA, MS is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Miss Kimberly Y Gong, BA, MS practice?

The practice location is 25 N 1ST Ave, Kenvil, NJ 07847-2500. The office can be reached at 973-229-7137 (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 1518599612 directly on the NPPES registry website.

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