KIM MARIE MYDOSH MS,RN,APN,C
NPI 1871768531
Clinical Nurse Specialist - Psychiatric/Mental Health in Summit, NJ

Active since April 24, 2008

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kim Marie Mydosh Ms,rn,apn,c NPPES

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

KIM MARIE MYDOSH MS,RN,APN,C (NPI 1871768531) is an individual psychiatric/mental health provider in Summit, New Jersey, licensed in New Jersey (NO088227) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1871768531
Entity TypeIndividualFemale
Primary Taxonomy364SP0808X
Provider Legal NameKIM MARIE MYDOSHCredential: MS,RN,APN,C
Location Address48 MAPLE STSummit, NJ 07901-2536
Mailing Address48 Maple StSummit, NJ 07901-2536 · (973) 479-2551
Sole ProprietorYes
Enumeration DateApril 24, 2008
Last NPPES UpdateMay 13, 2008
NPI 1871768531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
License Licensed in NJ · NO088227
48 MAPLE ST, Summit, NJ 07901

Other Identifiers 2

Medicaid6631304NJ
Medicare PINMA 579625NJ

Accepted Insurance

Other Providers at the Same Location NPPES 8

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

Social Worker (Clinical)
48 MAPLE ST
SUMMIT, NJ 07901
Dietitian, Registered (Nutrition, Obesity and Weight Management)
48 MAPLE ST
SUMMIT, NJ 07901
Nutritionist (Nutrition, Education)
48 MAPLE ST
SUMMIT, NJ 07901
Counselor (Professional)
48 MAPLE ST
SUMMIT, NJ 07901
Counselor (Mental Health)
48 MAPLE ST
SUMMIT, NJ 07901
Social Worker (Clinical)
48 MAPLE ST
SUMMIT, NJ 07901
Social Worker (Clinical)
48 MAPLE ST
SUMMIT, NJ 07901
Dietitian, Registered
48 MAPLE ST
SUMMIT, NJ 07901

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 Mydosh's NPI number?

The NPI number for Kim Mydosh is 1871768531. It was assigned to this individual provider in the NPPES registry on April 24, 2008.

Where is Kim Mydosh located?

Kim Mydosh practices at 48 Maple St, Summit, NJ 07901. The listed phone number is (973) 479-2551.

What is Kim Mydosh's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

What insurance does Kim Mydosh accept?

Health plans from Blue Cross and Blue Shield of NC list Kim Mydosh 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.

When was this NPI record last updated?

The NPPES record for Kim Mydosh was last updated on May 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.