Active NPIIndividual providerSole proprietor

Dr. Yeun S Kim, MD

Clinic/Center, Primary Care in Englewood, New Jersey

NPI Number1154626133
Practice location
533 Cumberland St, Englewood, NJ 07631-4705
Fax
—
Last updated
January 21, 2011

Yeun Sook Kim is a Clinic/Center, Primary Care based in Englewood, NJ. Yeun Sook Kim practices in Englewood, NJ and has the professional credentials of MD. The NPI Number for Yeun Sook Kim is 1154626133 and holds a License No. 115203 (NY). The current practice location address for Yeun Sook Kim is 533 Cumberland St, Englewood, NJ 07631-4705 and can be reached out via phone at 201-568-7109.

Provider Profile Details

NPI Number
1154626133
Provider Name
Yeun Sook Kim
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
533 Cumberland St, Englewood, NJ 07631-4705
Phone Number
201-568-7109
Primary Taxonomy
Clinic/Center, Primary Care · 261QP2300X
Sole Proprietor
Yes
Provider Enumeration Date
January 21, 2011
Last Update Date
January 21, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
533 Cumberland St
Englewood, NJ 07631-4705
Zip
07631-4705
Phone Number
201-568-7109
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
533 Cumberland St
Englewood, NJ 07631-4705
City
Englewood
State
NJ
Zip
07631-4705
Phone Number
201-568-7109

License Information

License Number
115203
License State
NY
Taxonomy
Clinic/Center, Primary Care · 261QP2300X · 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 Dr. Yeun S Kim, MD?

The NPI number of Dr. Yeun S Kim, MD is 1154626133. It was assigned on January 21, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Yeun S Kim, MD?

Dr. Yeun S Kim, MD is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in NY under license number 115203.

Where does Dr. Yeun S Kim, MD practice?

The practice location is 533 Cumberland St, Englewood, NJ 07631-4705. The office can be reached at 201-568-7109 (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 1154626133 directly on the NPPES registry website.

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