Active NPIIndividual providerSole proprietor

Justin Kim, MDPP COACH

Counselor, Professional in Palisades Park, New Jersey

NPI Number1063904134
Practice location
7 Broad Ave, Suite 206, Palisades Park, NJ 07650
Fax
—
Last updated
June 4, 2018

Justin Kim is a Counselor, Professional based in Palisades Park, NJ. Justin Kim practices in Palisades Park, NJ and has the professional credentials of MDPP COACH. The NPI Number for Justin Kim is 1063904134. The current practice location address for Justin Kim is 7 Broad Ave, Suite 206, Palisades Park, NJ 07650 and can be reached out via phone at 201-313-0131.

Provider Profile Details

NPI Number
1063904134
Provider Name
Justin Kim
Credential
MDPP COACH
Provider Entity Type
Individual
Gender
Male
Address
7 Broad Ave, Suite 206, Palisades Park, NJ 07650
Phone Number
201-313-0131
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
June 4, 2018
Last Update Date
June 4, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
7 Broad Ave
Suite 206
Palisades Park, NJ 07650
Zip
07650
Phone Number
201-313-0131
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
7 Broad Ave
Suite 206
Palisades Park, NJ 07650
City
Palisades Park
State
NJ
Zip
07650
Phone Number
201-313-0131

License Information

Taxonomy
Counselor, Professional · 101YP2500X · 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 Justin Kim, MDPP COACH?

The NPI number of Justin Kim, MDPP COACH is 1063904134. It was assigned on June 4, 2018 and is currently active in the NPPES registry.

What is the specialty of Justin Kim, MDPP COACH?

Justin Kim, MDPP COACH is registered under the primary taxonomy Counselor, Professional (code 101YP2500X).

Where does Justin Kim, MDPP COACH practice?

The practice location is 7 Broad Ave, Suite 206, Palisades Park, NJ 07650. The office can be reached at 201-313-0131 (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 1063904134 directly on the NPPES registry website.

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