Active NPIIndividual provider

Brian Kim, MD

Student in an Organized Health Care Education/Training Program in Newark, New Jersey

NPI Number1417706086
Practice location
185 S Orange Ave, Newark, NJ 07103-2757
Fax
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Last updated
May 16, 2024

Brian Kim is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Brian Kim practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Brian Kim is 1417706086. The current practice location address for Brian Kim is 185 S Orange Ave, Newark, NJ 07103-2757 and can be reached out via phone at 973-972-4300.

Provider Profile Details

NPI Number
1417706086
Provider Name
Brian Kim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
185 S Orange Ave, Newark, NJ 07103-2757
Phone Number
973-972-4300
Sole Proprietor
No
Provider Enumeration Date
May 16, 2024
Last Update Date
May 16, 2024
Certification Date
May 16, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
185 S Orange Ave
Newark, NJ 07103-2757
City
Newark
Zip
07103-2757
Phone Number
973-972-4300
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
54 Passaic Ave Apt 412
Kearny, NJ 07032-1159
City
Kearny
State
NJ
Zip
07032-1159
Phone Number
617-959-1448

License Information

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 Brian Kim, MD?

The NPI number of Brian Kim, MD is 1417706086. It was assigned on May 16, 2024 and is currently active in the NPPES registry.

What is the specialty of Brian Kim, MD?

Brian Kim, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Brian Kim, MD practice?

The practice location is 185 S Orange Ave, Newark, NJ 07103-2757. The office can be reached at 973-972-4300 (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 1417706086 directly on the NPPES registry website.

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