Active NPIIndividual providerSole proprietor

Jeong Eun Kim, MD

Pediatrics, Neonatal-Perinatal Medicine in Livingston, New Jersey

NPI Number1538402300
Practice location
94 Old Short Hills RD, Livingston, NJ 07039-5668
Fax
973-322-8833
Last updated
April 30, 2024

Jeong Eun Kim is a Pediatrics, Neonatal-Perinatal Medicine based in Livingston, NJ. Jeong Eun Kim practices in Livingston, NJ and has the professional credentials of MD. The NPI Number for Jeong Eun Kim is 1538402300 and holds a License No. 25MA10655700 (NJ). The current practice location address for Jeong Eun Kim is 94 Old Short Hills RD, Livingston, NJ 07039-5668 and can be reached out via phone at 973-322-5437 and via fax at 973-322-8833.

Provider Profile Details

NPI Number
1538402300
Provider Name
Jeong Eun Kim
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
94 Old Short Hills RD, Livingston, NJ 07039-5668
Phone Number
973-322-5437
Fax Number
973-322-8833
Primary Taxonomy
Pediatrics, Neonatal-Perinatal Medicine · 2080N0001X
Sole Proprietor
Yes
Provider Enumeration Date
March 30, 2013
Last Update Date
April 30, 2024
Certification Date
April 30, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
94 Old Short Hills RD
Livingston, NJ 07039-5668
Zip
07039-5668
Phone Number
973-322-5437
Fax Number
973-322-8833
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
94 Old Short Hills RD Ste 1
Livingston, NJ 07039-5668
City
Livingston
State
NJ
Zip
07039-5668
Phone Number
973-322-5437
Fax Number
973-322-8833

License Information

License Number (1)
25MA10655700
License State (1)
NJ
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
25MA10655700
License State (2)
NJ
Taxonomy (2)
Pediatrics, Neonatal-Perinatal Medicine · 2080N0001X · 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 Jeong Eun Kim, MD?

The NPI number of Jeong Eun Kim, MD is 1538402300. It was assigned on March 30, 2013 and is currently active in the NPPES registry.

What is the specialty of Jeong Eun Kim, MD?

Jeong Eun Kim, MD is registered under the primary taxonomy Pediatrics, Neonatal-Perinatal Medicine (code 2080N0001X), licensed in NJ under license number 25MA10655700.

Where does Jeong Eun Kim, MD practice?

The practice location is 94 Old Short Hills RD, Livingston, NJ 07039-5668. The office can be reached at 973-322-5437 (phone) or 973-322-8833 (fax).

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 1538402300 directly on the NPPES registry website.

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