Mitchell Kim, MD
Family Medicine, Sports Medicine in Eatontown, New Jersey
1144752122- Practice location
- 145 Wyckoff RD Ste 301, Eatontown, NJ 07724-1887
- Phone
- 848-208-5250
- Fax
- 732-935-1590
- Last updated
- March 3, 2022
Mitchell Kim is a Family Medicine, Sports Medicine based in Eatontown, NJ. Mitchell Kim practices in Eatontown, NJ and has the professional credentials of MD. The NPI Number for Mitchell Kim is 1144752122 and holds a License No. 25MA11030700 (NJ). The current practice location address for Mitchell Kim is 145 Wyckoff RD Ste 301, Eatontown, NJ 07724-1887 and can be reached out via phone at 848-208-5250 and via fax at 732-935-1590.
Provider Profile Details
- NPI Number
- 1144752122
- Provider Name
- Mitchell Kim
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 145 Wyckoff RD Ste 301, Eatontown, NJ 07724-1887
- Phone Number
- 848-208-5250
- Fax Number
- 732-935-1590
- Primary Taxonomy
- Family Medicine, Sports Medicine · 207QS0010X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 30, 2017
- Last Update Date
- March 3, 2022
- Certification Date
- March 3, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 145 Wyckoff RD Ste 301
Eatontown, NJ 07724-1887 - City
- Eatontown
- State
- New Jersey
- Zip
- 07724-1887
- Phone Number
- 848-208-5250
- Fax Number
- 732-935-1590
Provider Business Mailing Address Details
- Address
- 145 Wyckoff RD Ste 301
Eatontown, NJ 07724-1887 - City
- Eatontown
- State
- NJ
- Zip
- 07724-1887
- Phone Number
- 848-208-5250
- Fax Number
- 732-935-1590
License Information
- License Number (1)
- 25MA11030700
- License State (1)
- NJ
- Taxonomy (1)
- Family Medicine · 207Q00000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 25MA11030700
- License State (3)
- NJ
- Taxonomy (3)
- Family Medicine, Sports Medicine · 207QS0010X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mitchell Kim, MD?
The NPI number of Mitchell Kim, MD is 1144752122. It was assigned on March 30, 2017 and is currently active in the NPPES registry.
What is the specialty of Mitchell Kim, MD?
Mitchell Kim, MD is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in NJ under license number 25MA11030700.
Where does Mitchell Kim, MD practice?
The practice location is 145 Wyckoff RD Ste 301, Eatontown, NJ 07724-1887. The office can be reached at 848-208-5250 (phone) or 732-935-1590 (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 1144752122 directly on the NPPES registry website.