Active NPIIndividual providerSole proprietor

Mrs. Alexis Kim, PMHNP-BC

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

NPI Number1861908063
Practice location
80 Conover RD, Marlboro, NJ 07746-1003
Fax
718-667-2395
Last updated
July 12, 2023

Alexis Kim is a Nurse Practitioner, Psych/Mental Health based in Marlboro, NJ. Alexis Kim practices in Marlboro, NJ and has the professional credentials of PMHNP-BC. The NPI Number for Alexis Kim is 1861908063 and holds a License No. 26nj14874900 (NJ). The current practice location address for Alexis Kim is 80 Conover RD, Marlboro, NJ 07746-1003 and can be reached out via phone at 718-667-2386 and via fax at 718-667-2395.

Provider Profile Details

NPI Number
1861908063
Provider Name
Alexis Kim
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
80 Conover RD, Marlboro, NJ 07746-1003
Phone Number
718-667-2386
Fax Number
718-667-2395
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
December 26, 2017
Last Update Date
July 12, 2023
Certification Date
July 12, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 Conover RD
Marlboro, NJ 07746-1003
Zip
07746-1003
Phone Number
718-667-2386
Fax Number
718-667-2395
Marlboro, NJ 07746Get directions →

Provider Business Mailing Address Details

Address
80 Conover RD
Marlboro, NJ 07746-1003
City
Marlboro
State
NJ
Zip
07746-1003
Phone Number
731-946-9444

License Information

License Number
26nj14874900
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 Mrs. Alexis Kim, PMHNP-BC?

The NPI number of Mrs. Alexis Kim, PMHNP-BC is 1861908063. It was assigned on December 26, 2017 and is currently active in the NPPES registry.

What is the specialty of Mrs. Alexis Kim, PMHNP-BC?

Mrs. Alexis Kim, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26nj14874900.

Where does Mrs. Alexis Kim, PMHNP-BC practice?

The practice location is 80 Conover RD, Marlboro, NJ 07746-1003. The office can be reached at 718-667-2386 (phone) or 718-667-2395 (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 1861908063 directly on the NPPES registry website.

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