Kim Perretta is a Adult Health in Randolph, New Jersey. Kim Perretta practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Kim Perretta is 1215197272. The last update date is 2008-06-12.
Kim Perretta's current location address is 81 State Route 10, Randolph, New Jersey. You can contact this provider via phone number 9738911870. The mailing address for Kim Perretta is 81 State Route 10, Randolph, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim Perretta |
|---|---|
| Address | 81 State Route 10, Randolph, New Jersey |
| Phone Number | 9738911870 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | APN-C |
NPI Number Detail
| NPI Number | 1215197272 |
|---|---|
| Provider Enumeration Date | 2008-06-12 |
| Last Updated Date | 2008-06-12 |
Provider Mailing Address Detail
| Address | 81 State Route 10 |
|---|---|
| City | Randolph |
| State | New Jersey (NJ) |
| Post Code | 78692430 |
| Phone Number | 9738911870 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 26NJ00090500 |
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Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
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What is the unique provider identifier assigned to Kim Perretta?
The Kim Perretta has been issued the NPI (National Provider Identifier) 1215197272 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kim Perretta?
The Kim Perretta is physically situated at 81 State Route 10, in the city of Randolph, state of NJ, with the postal code 78692430.
What is the Kim Perretta's area of specialization and corresponding taxonomy classification?
The Kim Perretta's specialty field is Adult Health, and it falls under the taxonomy code 363La2200X, which categorizes healthcare providers based on their specialties.
On what date did the Kim Perretta receive its 1215197272 assignment from the Centers for Medicare & Medicaid Services?
The Kim Perretta was assigned its 1215197272 by the Centers for Medicare & Medicaid Services on 2008-06-12.
When was the information pertaining to Kim Perretta most recently updated or revised?
The details related to Kim Perretta, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-12.
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