Active NPIIndividual providerSole proprietor

David Im, RN

Registered Nurse in Bronx, New York

NPI Number1154907384
Practice location
3620 Marolla Pl, Bronx, NY 10466-6013
Fax
—
Last updated
March 18, 2021

David Im is a Registered Nurse based in Bronx, NY. David Im practices in Bronx, NY and has the professional credentials of RN. The NPI Number for David Im is 1154907384 and holds a License No. 808488-01 (NY). The current practice location address for David Im is 3620 Marolla Pl, Bronx, NY 10466-6013 and can be reached out via phone at 347-920-4072.

Provider Profile Details

NPI Number
1154907384
Provider Name
David Im
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
3620 Marolla Pl, Bronx, NY 10466-6013
Phone Number
347-920-4072
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 18, 2021
Last Update Date
March 18, 2021
Certification Date
March 18, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
3620 Marolla Pl
Bronx, NY 10466-6013
City
Bronx
Zip
10466-6013
Phone Number
347-920-4072
Bronx, NY 10466Get directions →

Provider Business Mailing Address Details

Address
156 Paterson Ave
Hasbrouck Heights, NJ 07604-1415
City
Hasbrouck Heights
State
NJ
Zip
07604-1415
Phone Number
201-316-4553

License Information

License Number
808488-01
License State
NY
Taxonomy
Registered Nurse · 163W00000X · 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 David Im, RN?

The NPI number of David Im, RN is 1154907384. It was assigned on March 18, 2021 and is currently active in the NPPES registry.

What is the specialty of David Im, RN?

David Im, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 808488-01.

Where does David Im, RN practice?

The practice location is 3620 Marolla Pl, Bronx, NY 10466-6013. The office can be reached at 347-920-4072 (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 1154907384 directly on the NPPES registry website.

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