MS. KIMBERLY J PERDOMO AGPCNP-BC
NPI 1861068827
Nurse Practitioner - Primary Care in Hackensack, NJ

Q: What is Kimberly Perdomo's NPI number?

The NPI number for Kimberly Perdomo is 1861068827. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Q: What is Kimberly Perdomo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Perdomo was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 01, 2021PECOS EnrolledAccepts Medicare Assignment

92 SUMMIT AVE, HACKENSACK, NJ 07601(201) 342-0066 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2021, Jun 10, 2021, Jun 1, 2021 (3 updates tracked since 2021).

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About Ms. Kimberly J Perdomo Agpcnp-bc NPPES

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

MS. KIMBERLY J PERDOMO AGPCNP-BC (NPI 1861068827) is an individual primary care provider in Hackensack, New Jersey, licensed in New Jersey (26NJ01163000) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861068827

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMS. KIMBERLY J PERDOMOCredential: AGPCNP-BC

Location Address92 SUMMIT AVEHackensack, NJ 07601-1263

Mailing Address92 Summit AveHackensack, NJ 07601-1263

Phone(201) 342-0066

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJune 1, 2021

Last NPPES UpdateAugust 9, 20213 updates tracked since enumeration

NPPES CertifiedAugust 9, 2021

✔ NPI 1861068827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in NJ · 26NJ01163000

Also ListedInternal MedicineTaxonomy 207R00000X · License 26NJ01163000 (NJ)

92 SUMMIT AVE, Hackensack, NJ 07601

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kimberly J Perdomo Agpcnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365846615

PECOS Enrollment IDI20210809001033

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

124 services82 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310015

Location100 Madison AveMorristown, NJ 07960 · Morris County

Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310051

Location99 Beauvoir AvenueSummit, NJ 07901 · Union County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MARIE C. LAURENT

Nurse Practitioner