Active NPIIndividual providerSole proprietor

Hyoeun Kim

Nurse Practitioner, Primary Care in Newark, New Jersey

NPI Number1124650387
Practice location
150 Bergen St, Newark, NJ 07103-2496
Fax
—
Last updated
February 6, 2020

Hyoeun Kim is a Nurse Practitioner, Primary Care based in Newark, NJ. Hyoeun Kim practices in Newark, NJ. The NPI Number for Hyoeun Kim is 1124650387 and holds a License No. 26NJ00936100 (NJ). The current practice location address for Hyoeun Kim is 150 Bergen St, Newark, NJ 07103-2496 and can be reached out via phone at 973-972-4300.

Provider Profile Details

NPI Number
1124650387
Provider Name
Hyoeun Kim
Provider Entity Type
Individual
Gender
Female
Address
150 Bergen St, Newark, NJ 07103-2496
Phone Number
973-972-4300
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
Yes
Provider Enumeration Date
February 6, 2020
Last Update Date
February 6, 2020
Certification Date
February 6, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Bergen St
Newark, NJ 07103-2496
City
Newark
Zip
07103-2496
Phone Number
973-972-4300
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
402 Livingston CT
Edgewater, NJ 07020-1639
City
Edgewater
State
NJ
Zip
07020-1639
Phone Number
201-679-3682

License Information

License Number
26NJ00936100
License State
NJ
Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X · 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 Hyoeun Kim?

The NPI number of Hyoeun Kim is 1124650387. It was assigned on February 6, 2020 and is currently active in the NPPES registry.

What is the specialty of Hyoeun Kim?

Hyoeun Kim is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in NJ under license number 26NJ00936100.

Where does Hyoeun Kim practice?

The practice location is 150 Bergen St, Newark, NJ 07103-2496. The office can be reached at 973-972-4300 (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 1124650387 directly on the NPPES registry website.

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