Provider Demographics
NPI:1700033818
Name:KALLON FILIMON, KADIJA (FNP - BC)
Entity type:Individual
Prefix:
First Name:KADIJA
Middle Name:
Last Name:KALLON FILIMON
Suffix:
Gender:F
Credentials:FNP - BC
Other - Prefix:MS
Other - First Name:KADIJA
Other - Middle Name:
Other - Last Name:FILIMON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:6 KENMORE RD
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-7851
Mailing Address - Country:US
Mailing Address - Phone:347-628-3683
Mailing Address - Fax:
Practice Address - Street 1:6 KENMORE RD
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-7851
Practice Address - Country:US
Practice Address - Phone:347-628-3683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2025-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR20023400163W00000X, 363LF0000X
NY2626566163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse