MS. KIM R MARTIN-WIDAWSKY (ANPC) – Nurse Practitioner, NPI 1053484147
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,515 NURSE PRACTITIONER in NJ
Provider Addresses for MS. KIM R MARTIN-WIDAWSKY (ANPC)
PO BOX 625
ALLENDALE, NJ 074010625
Phone: (201) 394-3329
Type: Mailing
77 W Maple Ave
Allendale, NJ 074011206
Phone: (201) 394-3329
Type: Location
1255 Broad St
Bloomfield, NJ 070033000
Phone: (201) 394-3329
Type: Location
33 Liberty St
Federal Reserve Bank of NY Medical Dept.
New York, NY 100451003
Phone: (212) 720-5201
Fax: (212) 720-7775
Type: Location
77 W MAPLE AVE
ALLENDALE, NJ 074011206
Phone: (201) 394-3329
Type: Mailing
328 W SAINT GEORGES AVE
LINDEN, NJ 070365638
Phone: (908) 925-2273
Type: Location
77, West Maple Avenue, Allendale, Bergen County, New Jersey, 07401, United States
ALLENDALE, NJ 074011206
Phone: (201) 394-3329
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $168.
Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Novo Nordisk Inc ($50).
Total Amount
$168
General + Research + Ownership
Payments
10
Total payment records
General Amount
$168
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-10-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171006001026 | I | Nurse Practitioner | NY | TBD |
| I20171026000077 | I | Nurse Practitioner | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 222 | 175 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 45 | 44 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 33 | 33 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 33 | 31 | $0 |
| 83615 | Lactate dehydrogenase (enzyme) level | 32 | 32 | $0 |
Insurance plans in this area (ZIP 07401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | NJ | |
| Physician Assistant | NJ | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NJ | |
| Registered Dietitian Or Nutrition Professional | NJ | |
| E N D O C R I N O L O G Y | NJ | |
| Physician Assistant | NJ | |
| Sports Medicine, Family Practice | NJ | |
| Internal Medicine | NJ | |
| Family Practice | MI | |
| Internal Medicine | NJ |
Reviews
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