Active NPIIndividual providerSole proprietor

Yekaterina Kim, MD

Internal Medicine, Cardiovascular Disease in Newark, New Jersey

NPI Number1356737167
Practice location
201 Lyons Ave, Newark, NJ 07112-2027
Fax
—
Last updated
September 18, 2023

Yekaterina Kim is an Internal Medicine, Cardiovascular Disease based in Newark, NJ. Yekaterina Kim practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Yekaterina Kim is 1356737167 and holds a License No. 25MA11409100 (NJ). The current practice location address for Yekaterina Kim is 201 Lyons Ave, Newark, NJ 07112-2027 and can be reached out via phone at 973-926-7000.

Provider Profile Details

NPI Number
1356737167
Provider Name
Yekaterina Kim
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
201 Lyons Ave, Newark, NJ 07112-2027
Phone Number
973-926-7000
Primary Taxonomy
Internal Medicine, Cardiovascular Disease · 207RC0000X
Sole Proprietor
Yes
Provider Enumeration Date
April 8, 2015
Last Update Date
September 18, 2023
Certification Date
October 11, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Lyons Ave
Newark, NJ 07112-2027
City
Newark
Zip
07112-2027
Phone Number
973-926-7000
Newark, NJ 07112Get directions →

Provider Business Mailing Address Details

Address
201 Lyons Ave
Newark, NJ 07112-2027
City
Newark
State
NJ
Zip
07112-2027
Phone Number
973-926-7000

License Information

License Number (2)
25MA11409100
License State (2)
NJ
Taxonomy (2)
Internal Medicine, Cardiovascular Disease · 207RC0000X · 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 Yekaterina Kim, MD?

The NPI number of Yekaterina Kim, MD is 1356737167. It was assigned on April 8, 2015 and is currently active in the NPPES registry.

What is the specialty of Yekaterina Kim, MD?

Yekaterina Kim, MD is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in NJ under license number 25MA11409100.

Where does Yekaterina Kim, MD practice?

The practice location is 201 Lyons Ave, Newark, NJ 07112-2027. The office can be reached at 973-926-7000 (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 1356737167 directly on the NPPES registry website.

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