MS. KIMBERLY J PERDOMO AGPCNP-BC
NPI 1861068827
Nurse Practitioner - Primary Care in Hackensack, NJ
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
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Perdomo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Passaic, NJ 07055
- Reassigned Medicare billing, New Jersey enrollment
- 6 clinicians in this Medicare group
Morristown, NJ 07960
- Reassigned Medicare billing, New Jersey enrollment
- 1,699 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NJOverlook Medical Center
Acute Care Hospitals · Summit, NJPhysician 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.
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.
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 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.
Where is Kimberly Perdomo located?
Kimberly Perdomo practices at 92 Summit Ave, Hackensack, NJ 07601. The listed phone number is (201) 342-0066.
What is Kimberly Perdomo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kimberly Perdomo enrolled in Medicare?
Yes. Kimberly Perdomo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kimberly Perdomo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Perdomo reassigns Medicare benefits to 2 organizations: Complete Neurological Care Of Nj PC (Passaic, NJ) and Practice Associates Medical Group (Morristown, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Perdomo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Perdomo accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Kimberly Perdomo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kimberly Perdomo affiliated with any hospitals?
According to CMS data, Kimberly Perdomo is affiliated with Morristown Medical Center and Overlook Medical Center.
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.
# Ms. Kimberly J Perdomo, AGPCNP-BC · NPI 1861068827
Primary Care physician in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since June 1, 2021.
## Identity
- **NPI:** 1861068827 (Entity type: Individual)
- **Enumerated:** June 1, 2021
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 26NJ01163000 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 92 SUMMIT AVE, Hackensack, NJ 07601-1263
- **Phone:** (201) 342-0066
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Complete Neurological Care Of Nj PC (NPI 1134668981, Passaic, NJ); Practice Associates Medical Group (NPI 1427016385, Morristown, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1861068827) · Data from the CMS NPPES public registry.