Active NPIIndividual providerSole proprietor

Jessica S Kim, OTR/L

Occupational Therapist in Englishtown, New Jersey

NPI Number1124783287
Practice location
49 Lasatta Ave, Englishtown, NJ 07726-1656
Fax
—
Last updated
November 3, 2021

Jessica S Kim is an Occupational Therapist based in Englishtown, NJ. Jessica S Kim practices in Englishtown, NJ and has the professional credentials of OTR/L. The NPI Number for Jessica S Kim is 1124783287 and holds a License No. 46TR00975900 (NJ). The current practice location address for Jessica S Kim is 49 Lasatta Ave, Englishtown, NJ 07726-1656 and can be reached out via phone at 201-321-2543.

Provider Profile Details

NPI Number
1124783287
Provider Name
Jessica S Kim
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
49 Lasatta Ave, Englishtown, NJ 07726-1656
Phone Number
201-321-2543
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 3, 2021
Last Update Date
November 3, 2021
Certification Date
November 3, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 Lasatta Ave
Englishtown, NJ 07726-1656
Zip
07726-1656
Phone Number
201-321-2543
Englishtown, NJ 07726Get directions →

Provider Business Mailing Address Details

Address
70 S Shore Dr
South Amboy, NJ 08879-3431
City
South Amboy
State
NJ
Zip
08879-3431
Phone Number
201-321-2543

License Information

License Number
46TR00975900
License State
NJ
Taxonomy
Occupational Therapist · 225X00000X · 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 Jessica S Kim, OTR/L?

The NPI number of Jessica S Kim, OTR/L is 1124783287. It was assigned on November 3, 2021 and is currently active in the NPPES registry.

What is the specialty of Jessica S Kim, OTR/L?

Jessica S Kim, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00975900.

Where does Jessica S Kim, OTR/L practice?

The practice location is 49 Lasatta Ave, Englishtown, NJ 07726-1656. The office can be reached at 201-321-2543 (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 1124783287 directly on the NPPES registry website.

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