Ms Kim Marie Pauline, MS is a
Nutritionist based in Park Ridge, New Jersey. Ms Kim Marie Pauline is licensed to practice in * (Not Available) (license number ) and her current practice location is
8 S Maple Ave, Suite A, Park Ridge, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(315) 383-7862.
NPI number for Ms Kim Marie Pauline is 1538566419 and her current mailing address is 8 S Maple Ave, Suite A, Park Ridge, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538566419.
Healthcare Provider's Profile
| Full Name | Ms Kim Marie Pauline |
|---|
| Gender | Female |
|---|
| Speciality | Nutritionist |
|---|
| Location | 8 S Maple Ave, Park Ridge, New Jersey |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1538566419
- Provider Enumeration Date: 11/20/2014
- Last Update Date: 11/03/2016
Medical Identifiers
Medical identifiers for Ms Kim Marie Pauline such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538566419 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 133N00000X | Nutritionist | (* (Not Available)) | Primary |
| 133NN1002X | Nutritionist - Nutrition, Education | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kim Marie Pauline is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Kim Marie Pauline, MS
8 S Maple Ave, Suite A,
Park Ridge, NJ 07656-2137
Ph: (315) 383-7862 | Ms Kim Marie Pauline, MS
8 S Maple Ave, Suite A,
Park Ridge, NJ 07656-2137
Ph: (315) 383-7862 |
Reviews and Comments