Wanchu T Kim, MD
General Practice in Clifton, New Jersey
1104916378- Practice location
- 1272 Clifton Ave, Clifton, NJ 07012
- Phone
- 973-471-2916
- Fax
- 973-470-9636
- Last updated
- September 11, 2025
Wanchu Thomas Kim is a General Practice based in Clifton, NJ. Wanchu Thomas Kim practices in Clifton, NJ and has the professional credentials of MD. The NPI Number for Wanchu Thomas Kim is 1104916378 and holds a License No. 25MA02527900 (NJ). The current practice location address for Wanchu Thomas Kim is 1272 Clifton Ave, Clifton, NJ 07012 and can be reached out via phone at 973-471-2916 and via fax at 973-470-9636.
Provider Profile Details
- NPI Number
- 1104916378
- Provider Name
- Wanchu Thomas Kim
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1272 Clifton Ave, Clifton, NJ 07012
- Phone Number
- 973-471-2916
- Fax Number
- 973-470-9636
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 16, 2006
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1272 Clifton Ave
Clifton, NJ 07012 - City
- Clifton
- State
- New Jersey
- Zip
- 07012
- Phone Number
- 973-471-2916
- Fax Number
- 973-470-9636
Provider Business Mailing Address Details
- Address
- 1272 Clifton Ave
Clifton, NJ 07012 - City
- Clifton
- State
- NJ
- Zip
- 07012
- Phone Number
- 973-471-2916
- Fax Number
- 973-470-9636
License Information
- License Number (1)
- 25MA02527900
- License State (1)
- NJ
- Taxonomy (1)
- Surgery · 208600000X
- License Number (2)
- 25MA02527900
- License State (2)
- NJ
- Taxonomy (2)
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other General Practice providers near Clifton, NJ
View all General Practice providers in Clifton →- Broad Street Wellness CenterGeneral Practice · NPI 1235371576
- Dr. Emmanuel A Adedokun, MDGeneral Practice · NPI 1417158767
- Dr. Grace Melendez, MDGeneral Practice · NPI 1710971676
- Jesse MangoneGeneral Practice · NPI 1598777112
- Mayfair Medical Systems INCGeneral Practice · NPI 1780337998
- Melissa Rusli, DOGeneral Practice · NPI 1558554253
Frequently Asked Questions
What is the NPI number of Wanchu T Kim, MD?
The NPI number of Wanchu T Kim, MD is 1104916378. It was assigned on October 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Wanchu T Kim, MD?
Wanchu T Kim, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in NJ under license number 25MA02527900.
Where does Wanchu T Kim, MD practice?
The practice location is 1272 Clifton Ave, Clifton, NJ 07012. The office can be reached at 973-471-2916 (phone) or 973-470-9636 (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 1104916378 directly on the NPPES registry website.