Active NPIIndividual provider

Main Kim, DPT

Physical Therapist in Cliffside Park, New Jersey

NPI Number1417438375
Practice location
700 Palisadium Dr, Cliffside Park, NJ 07010-3239
Fax
—
Last updated
September 4, 2018

Main Kim is a Physical Therapist based in Cliffside Park, NJ. Main Kim practices in Cliffside Park, NJ and has the professional credentials of DPT. The NPI Number for Main Kim is 1417438375 and holds a License No. 40QA0180000 (NJ). The current practice location address for Main Kim is 700 Palisadium Dr, Cliffside Park, NJ 07010-3239 and can be reached out via phone at 201-917-3494.

Provider Profile Details

NPI Number
1417438375
Provider Name
Main Kim
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
700 Palisadium Dr, Cliffside Park, NJ 07010-3239
Phone Number
201-917-3494
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 28, 2018
Last Update Date
September 4, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
700 Palisadium Dr
Cliffside Park, NJ 07010-3239
Zip
07010-3239
Phone Number
201-917-3494
Cliffside Park, NJ 07010Get directions →

Provider Business Mailing Address Details

Address
129 37TH Street
Unit 404
Union City, NJ 07087
City
Union City
State
NJ
Zip
07087
Phone Number
201-328-4323

License Information

License Number (1)
40QA0180000
License State (1)
NJ
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
40qa01810000
License State (2)
NJ
Taxonomy (2)
Physical Therapist · 225100000X · 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 Main Kim, DPT?

The NPI number of Main Kim, DPT is 1417438375. It was assigned on August 28, 2018 and is currently active in the NPPES registry.

What is the specialty of Main Kim, DPT?

Main Kim, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA0180000.

Where does Main Kim, DPT practice?

The practice location is 700 Palisadium Dr, Cliffside Park, NJ 07010-3239. The office can be reached at 201-917-3494 (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 1417438375 directly on the NPPES registry website.

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