Active NPIIndividual provider

Michele Kim, CPED

Pedorthist in Fort Lee, New Jersey

NPI Number1356196281
Practice location
1402 Bergen Blvd, Fort Lee, NJ 07024-2116
Fax
—
Last updated
April 23, 2024

Michele Kim is a Pedorthist based in Fort Lee, NJ. Michele Kim practices in Fort Lee, NJ and has the professional credentials of CPED. The NPI Number for Michele Kim is 1356196281 and holds a License No. CPed4638 (NJ). The current practice location address for Michele Kim is 1402 Bergen Blvd, Fort Lee, NJ 07024-2116 and can be reached out via phone at 201-328-2776.

Provider Profile Details

NPI Number
1356196281
Provider Name
Michele Kim
Credential
CPED
Provider Entity Type
Individual
Gender
Female
Address
1402 Bergen Blvd, Fort Lee, NJ 07024-2116
Phone Number
201-328-2776
Primary Taxonomy
Pedorthist · 224L00000X
Sole Proprietor
No
Provider Enumeration Date
April 23, 2024
Last Update Date
April 23, 2024
Certification Date
April 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1402 Bergen Blvd
Fort Lee, NJ 07024-2116
Zip
07024-2116
Phone Number
201-328-2776
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
1402 Bergen Blvd
Fort Lee, NJ 07024-2116
City
Fort Lee
State
NJ
Zip
07024-2116
Phone Number
201-328-2776

License Information

License Number
CPed4638
License State
NJ
Taxonomy
Pedorthist · 224L00000X · 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 Michele Kim, CPED?

The NPI number of Michele Kim, CPED is 1356196281. It was assigned on April 23, 2024 and is currently active in the NPPES registry.

What is the specialty of Michele Kim, CPED?

Michele Kim, CPED is registered under the primary taxonomy Pedorthist (code 224L00000X), licensed in NJ under license number CPed4638.

Where does Michele Kim, CPED practice?

The practice location is 1402 Bergen Blvd, Fort Lee, NJ 07024-2116. The office can be reached at 201-328-2776 (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 1356196281 directly on the NPPES registry website.

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