Ms Kimberly J Perdomo, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Primary Care" physician in Hackensack, New Jersey. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Practice Associates Medical Group and her current practice location is
92 Summit Ave, Hackensack, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 342-0066.
Ms Kimberly J Perdomo is licensed to practice in New Jersey (license number 26NJ01163000) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861068827.
Physician's Profile
| Full Name | Ms Kimberly J Perdomo |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 92 Summit Ave, Hackensack, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Kimberly J Perdomo graduated from medical school in 2020
NPI Data:
- NPI Number: 1861068827
- Provider Enumeration Date: 06/01/2021
- Last Update Date: 08/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 2365846615
- Enrollment ID: I20210809001033
Medical Identifiers
Medical identifiers for Ms Kimberly J Perdomo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861068827 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 26NJ01163000 (New Jersey) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 26NJ01163000 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Practice Associates Medical Group | 5890703177 | 1116 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kimberly J Perdomo allows following entities to bill medicare on her behalf.
| Entity Name | North Jersey Internal Medicine Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114027885
PECOS PAC ID: 6103840731
Enrollment ID: O20060125000758 |
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| Entity Name | Practice Associates Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427016385
PECOS PAC ID: 5890703177
Enrollment ID: O20060330000690 |
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| Entity Name | Complete Neurological Care Of Nj Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134668981
PECOS PAC ID: 7719254887
Enrollment ID: O20170519000875 |
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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 Kimberly J Perdomo is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ms Kimberly J Perdomo, AGPCNP-BC
92 Summit Ave,
Hackensack, NJ 07601-1263
Ph: () - | Ms Kimberly J Perdomo, AGPCNP-BC
92 Summit Ave,
Hackensack, NJ 07601-1263
Ph: (201) 342-0066 |
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