Dr. Dongsoo Kim, PHD
Clinical Neuropsychologist in Englewood, New Jersey
1164609863- Practice location
- 163 Engle St Ste 1A, Englewood, NJ 07631-2530
- Phone
- 201-894-1115
- Fax
- 201-391-1799
- Last updated
- January 24, 2008
Dongsoo Kim is a Clinical Neuropsychologist based in Englewood, NJ. Dongsoo Kim practices in Englewood, NJ and has the professional credentials of PHD. The NPI Number for Dongsoo Kim is 1164609863 and holds a License No. 35SI00419400 (NJ). The current practice location address for Dongsoo Kim is 163 Engle St Ste 1A, Englewood, NJ 07631-2530 and can be reached out via phone at 201-894-1115 and via fax at 201-391-1799.
Provider Profile Details
- NPI Number
- 1164609863
- Provider Name
- Dongsoo Kim
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 163 Engle St Ste 1A, Englewood, NJ 07631-2530
- Phone Number
- 201-894-1115
- Fax Number
- 201-391-1799
- Primary Taxonomy
- Clinical Neuropsychologist · 103G00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 24, 2008
- Last Update Date
- January 24, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 163 Engle St Ste 1A
Englewood, NJ 07631-2530 - City
- Englewood
- State
- New Jersey
- Zip
- 07631-2530
- Phone Number
- 201-894-1115
- Fax Number
- 201-391-1799
Provider Business Mailing Address Details
- Address
- 163 Engle St 1A
Englewood, NJ 07631 - City
- Englewood
- State
- NJ
- Zip
- 07631
- Phone Number
- 201-894-1115
- Fax Number
- 201-391-1799
License Information
- License Number
- 35SI00419400
- License State
- NJ
- Taxonomy
- Clinical Neuropsychologist · 103G00000X · 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 Dr. Dongsoo Kim, PHD?
The NPI number of Dr. Dongsoo Kim, PHD is 1164609863. It was assigned on January 24, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Dongsoo Kim, PHD?
Dr. Dongsoo Kim, PHD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in NJ under license number 35SI00419400.
Where does Dr. Dongsoo Kim, PHD practice?
The practice location is 163 Engle St Ste 1A, Englewood, NJ 07631-2530. The office can be reached at 201-894-1115 (phone) or 201-391-1799 (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 1164609863 directly on the NPPES registry website.