Active NPIIndividual providerSole proprietor

Myung Kim, NP

Nurse Practitioner, Gerontology in Linden, New Jersey

NPI Number1053133017
Practice location
623 N Wood Ave # 6B, Linden, NJ 07036-4151
Fax
—
Last updated
October 30, 2024

Myung Kim is a Nurse Practitioner, Gerontology based in Linden, NJ. Myung Kim practices in Linden, NJ and has the professional credentials of NP. The NPI Number for Myung Kim is 1053133017 and holds a License No. 95318198 (CA). The current practice location address for Myung Kim is 623 N Wood Ave # 6B, Linden, NJ 07036-4151 and can be reached out via phone at 908-486-0990.

Provider Profile Details

NPI Number
1053133017
Provider Name
Myung Kim
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
623 N Wood Ave # 6B, Linden, NJ 07036-4151
Phone Number
908-486-0990
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
Yes
Provider Enumeration Date
October 30, 2024
Last Update Date
October 30, 2024
Certification Date
October 29, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
623 N Wood Ave # 6B
Linden, NJ 07036-4151
City
Linden
Zip
07036-4151
Phone Number
908-486-0990
Linden, NJ 07036Get directions →

Provider Business Mailing Address Details

Address
942 W Valencia Mesa Dr
Fullerton, CA 92835-4010
City
Fullerton
State
CA
Zip
92835-4010
Phone Number
917-865-8271

License Information

License Number
95318198
License State
CA
Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Myung Kim, NP?

The NPI number of Myung Kim, NP is 1053133017. It was assigned on October 30, 2024 and is currently active in the NPPES registry.

What is the specialty of Myung Kim, NP?

Myung Kim, NP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in CA under license number 95318198.

Where does Myung Kim, NP practice?

The practice location is 623 N Wood Ave # 6B, Linden, NJ 07036-4151. The office can be reached at 908-486-0990 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053133017 directly on the NPPES registry website.

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