Individual provider · Type 1 NPI

Kimberly J. Perdomo, AGPCNP-BC

Primary Care Nurse Practitioner · Hackensack, NJ

NPI number 1861068827 Active

Practice location

92 Summit Ave
Hackensack, NJ 07601-1263

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X26NJ01163000 (NJ)
Primary Care Nurse Practitioner Primary 363LP2300X26NJ01163000 (NJ)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1861068827

Kimberly J. Perdomo, AGPCNP-BC's National Provider Identifier is 1861068827, issued on Jun 1, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Hackensack, NJ. The record was last updated on Aug 9, 2021.