Active NPIIndividual provider

Seokyung Kim, APN

Nurse Practitioner, Gerontology in Englewood, New Jersey

NPI Number1376999466
Practice location
350 Engle Street, 2 East, Englewood, NJ 07631
Fax
—
Last updated
June 9, 2025

Seokyung Kim is a Nurse Practitioner, Gerontology based in Englewood, NJ. Seokyung Kim practices in Englewood, NJ and has the professional credentials of APN. The NPI Number for Seokyung Kim is 1376999466 and holds a License No. F307676 (NY). The current practice location address for Seokyung Kim is 350 Engle Street, 2 East, Englewood, NJ 07631 and can be reached out via phone at 201-894-3689.

Provider Profile Details

NPI Number
1376999466
Provider Name
Seokyung Kim
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
350 Engle Street, 2 East, Englewood, NJ 07631
Phone Number
201-894-3689
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
May 9, 2016
Last Update Date
June 9, 2025
Certification Date
June 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 Engle Street
2 East
Englewood, NJ 07631
Zip
07631
Phone Number
201-894-3689
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
3198 Grand Concourse
Bronx, NY 10458-1000
City
Bronx
State
NY
Zip
10458-1000
Phone Number
718-618-0401
Fax Number
718-795-4394

License Information

License Number (1)
F307676
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
26NJ01116900
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X · 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 Seokyung Kim, APN?

The NPI number of Seokyung Kim, APN is 1376999466. It was assigned on May 9, 2016 and is currently active in the NPPES registry.

What is the specialty of Seokyung Kim, APN?

Seokyung Kim, APN is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NY under license number F307676.

Where does Seokyung Kim, APN practice?

The practice location is 350 Engle Street, 2 East, Englewood, NJ 07631. The office can be reached at 201-894-3689 (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 1376999466 directly on the NPPES registry website.

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