Healthcare Provider Details

I. General information

NPI: 1184547630
Provider Name (Legal Business Name): KIMBERLY ADAMS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 SPRINGFIELD AVE
WESTFIELD NJ
07090-1024
US

IV. Provider business mailing address

852 RAMAPO WAY
WESTFIELD NJ
07090-3812
US

V. Phone/Fax

Practice location:
  • Phone: 908-228-3620
  • Fax:
Mailing address:
  • Phone: 908-209-3970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number26NR18842100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: