Active NPIIndividual providerSole proprietor

Ms. Kim M Pauline, MS

Nutritionist in Park Ridge, New Jersey

NPI Number1538566419
Practice location
8 S Maple Ave, Suite A, Park Ridge, NJ 07656-2137
Fax
866-475-1097
Last updated
November 3, 2016

Kim Marie Pauline is a Nutritionist based in Park Ridge, NJ. Kim Marie Pauline practices in Park Ridge, NJ and has the professional credentials of MS. The NPI Number for Kim Marie Pauline is 1538566419. The current practice location address for Kim Marie Pauline is 8 S Maple Ave, Suite A, Park Ridge, NJ 07656-2137 and can be reached out via phone at 315-383-7862 and via fax at 866-475-1097.

Provider Profile Details

NPI Number
1538566419
Provider Name
Kim Marie Pauline
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
8 S Maple Ave, Suite A, Park Ridge, NJ 07656-2137
Phone Number
315-383-7862
Fax Number
866-475-1097
Primary Taxonomy
Nutritionist · 133N00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 20, 2014
Last Update Date
November 3, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
8 S Maple Ave
Suite A
Park Ridge, NJ 07656-2137
Zip
07656-2137
Phone Number
315-383-7862
Fax Number
866-475-1097
Park Ridge, NJ 07656Get directions →

Provider Business Mailing Address Details

Address
8 S Maple Ave
Suite A
Park Ridge, NJ 07656-2137
City
Park Ridge
State
NJ
Zip
07656-2137
Phone Number
315-383-7862
Fax Number
866-475-1097

License Information

Taxonomy (1)
Counselor · 101Y00000X
Taxonomy (2)
Nutritionist · 133N00000X · Primary
Taxonomy (3)
Nutritionist, Nutrition, Education · 133NN1002X

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 Ms. Kim M Pauline, MS?

The NPI number of Ms. Kim M Pauline, MS is 1538566419. It was assigned on November 20, 2014 and is currently active in the NPPES registry.

What is the specialty of Ms. Kim M Pauline, MS?

Ms. Kim M Pauline, MS is registered under the primary taxonomy Nutritionist (code 133N00000X).

Where does Ms. Kim M Pauline, MS practice?

The practice location is 8 S Maple Ave, Suite A, Park Ridge, NJ 07656-2137. The office can be reached at 315-383-7862 (phone) or 866-475-1097 (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 1538566419 directly on the NPPES registry website.

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