Active NPIIndividual providerSole proprietor

Dr. Chang N Kim, MD

Psychiatry & Neurology, Psychiatry in Cedar Grove, New Jersey

NPI Number1063516458
Practice location
22 Woodstone Dr, Cedar Grove, NJ 07009-1940
Fax
973-857-3123
Last updated
March 20, 2025

Chang Nam Kim is a Psychiatry & Neurology, Psychiatry based in Cedar Grove, NJ. Chang Nam Kim practices in Cedar Grove, NJ and has the professional credentials of MD. The NPI Number for Chang Nam Kim is 1063516458 and holds a License No. 25MA03826200 (NJ). The current practice location address for Chang Nam Kim is 22 Woodstone Dr, Cedar Grove, NJ 07009-1940 and can be reached out via phone at 973-773-9228 and via fax at 973-857-3123.

Provider Profile Details

NPI Number
1063516458
Provider Name
Chang Nam Kim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
22 Woodstone Dr, Cedar Grove, NJ 07009-1940
Phone Number
973-773-9228
Fax Number
973-857-3123
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
September 7, 2006
Last Update Date
March 20, 2025
Certification Date
March 20, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Woodstone Dr
Cedar Grove, NJ 07009-1940
Zip
07009-1940
Phone Number
973-773-9228
Fax Number
973-857-3123
Cedar Grove, NJ 07009Get directions →

Provider Business Mailing Address Details

Address
22 Woodstone Dr
Cedar Grove, NJ 07009-1940
City
Cedar Grove
State
NJ
Zip
07009-1940
Phone Number
973-773-9228
Fax Number
973-773-3029

License Information

License Number
25MA03826200
License State
NJ
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

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

Other Psychiatry & Neurology, Psychiatry providers near Cedar Grove, NJ

View all Psychiatry & Neurology, Psychiatry providers in Cedar Grove →

Frequently Asked Questions

What is the NPI number of Dr. Chang N Kim, MD?

The NPI number of Dr. Chang N Kim, MD is 1063516458. It was assigned on September 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Chang N Kim, MD?

Dr. Chang N Kim, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NJ under license number 25MA03826200.

Where does Dr. Chang N Kim, MD practice?

The practice location is 22 Woodstone Dr, Cedar Grove, NJ 07009-1940. The office can be reached at 973-773-9228 (phone) or 973-857-3123 (fax).

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 1063516458 directly on the NPPES registry website.

Browse related providers