Active NPIIndividual provider

Ms. Tara Kim, MD

Internal Medicine, Endocrinology, Diabetes & Metabolism in Englewood, New Jersey

NPI Number1316246960
Practice location
180 Engle St, Englewood, NJ 07631-2507
Fax
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Last updated
October 9, 2024

Tara Kim is an Internal Medicine, Endocrinology, Diabetes & Metabolism based in Englewood, NJ. Tara Kim practices in Englewood, NJ and has the professional credentials of MD. The NPI Number for Tara Kim is 1316246960 and holds a License No. 25MA12390100 (NJ). The current practice location address for Tara Kim is 180 Engle St, Englewood, NJ 07631-2507 and can be reached out via phone at 201-567-2050.

Provider Profile Details

NPI Number
1316246960
Provider Name
Tara Kim
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
180 Engle St, Englewood, NJ 07631-2507
Phone Number
201-567-2050
Sole Proprietor
No
Provider Enumeration Date
March 22, 2011
Last Update Date
October 9, 2024
Certification Date
October 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
180 Engle St
Englewood, NJ 07631-2507
Zip
07631-2507
Phone Number
201-567-2050
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
300 Community Dr
Manhasset, NY 11030-3816
City
Manhasset
State
NY
Zip
11030-3816
Phone Number
516-562-0100

License Information

License Number (1)
25MA12390100
License State (1)
NJ
Taxonomy (1)
Internal Medicine, Endocrinology, Diabetes & Metabolism · 207RE0101X · Primary
License Number (2)
267583
License State (2)
NY
Taxonomy (2)
Internal Medicine · 207R00000X

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 Ms. Tara Kim, MD?

The NPI number of Ms. Tara Kim, MD is 1316246960. It was assigned on March 22, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Tara Kim, MD?

Ms. Tara Kim, MD is registered under the primary taxonomy Internal Medicine, Endocrinology, Diabetes & Metabolism (code 207RE0101X), licensed in NJ under license number 25MA12390100.

Where does Ms. Tara Kim, MD practice?

The practice location is 180 Engle St, Englewood, NJ 07631-2507. The office can be reached at 201-567-2050 (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 1316246960 directly on the NPPES registry website.

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