KIM DOVALO
NPI 1043626211
Nurse Practitioner - Family in Newark, NJ

Active since July 08, 2014
90 BERGEN ST STE 8100, NEWARK, NJ 07103(973) 972-2897 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim Dovalo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM DOVALO (NPI 1043626211) is an individual family provider in Newark, New Jersey, licensed in New Jersey (26NJ00484100) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1043626211
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIM DOVALO
Location Address90 BERGEN ST STE 8100Newark, NJ 07103-2425
Mailing Address90 Bergen St Ste 8100Newark, NJ 07103-2425 · (973) 972-2897
Sole ProprietorNo
Enumeration DateJuly 8, 2014
Last NPPES UpdateApril 7, 2016
NPI 1043626211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NJ · 26NJ00484100
90 BERGEN ST STE 8100, Newark, NJ 07103

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Neurological Surgery
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Nurse Practitioner (Family)
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Otolaryngology
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Otolaryngology
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Specialist/Technologist (Athletic Trainer)
90 BERGEN ST STE 8100
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
90 BERGEN ST STE 8100
NEWARK, NJ 07103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Dovalo's NPI number?

The NPI number for Kim Dovalo is 1043626211. It was assigned to this individual provider in the NPPES registry on July 8, 2014.

Where is Kim Dovalo located?

Kim Dovalo practices at 90 Bergen St Ste 8100, Newark, NJ 07103. The listed phone number is (973) 972-2897.

What is Kim Dovalo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kim Dovalo was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.