- Practice location
- 130 W Kingsbridge RD, Bronx, NY 10468-3904
- Phone
- 917-826-8615
- Fax
- —
- Last updated
- September 11, 2025
Elizabeth Eon Kim is a Neuromusculoskeletal Medicine, Sports Medicine based in Bronx, NY. Elizabeth Eon Kim practices in Bronx, NY and has the professional credentials of MD. The NPI Number for Elizabeth Eon Kim is 1659404366 and holds a License No. 25MA07697000 (NJ). The current practice location address for Elizabeth Eon Kim is 130 W Kingsbridge RD, Bronx, NY 10468-3904 and can be reached out via phone at 917-826-8615.
Provider Profile Details
- NPI Number
- 1659404366
- Provider Name
- Elizabeth Eon Kim
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 130 W Kingsbridge RD, Bronx, NY 10468-3904
- Phone Number
- 917-826-8615
- Primary Taxonomy
- Neuromusculoskeletal Medicine, Sports Medicine · 204C00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 13, 2007
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 W Kingsbridge RD
Bronx, NY 10468-3904 - City
- Bronx
- State
- New York
- Zip
- 10468-3904
- Phone Number
- 917-826-8615
Provider Business Mailing Address Details
- Address
- 1083 Jassamine Way
Fort Lee, NJ 07024-1621 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-1621
- Phone Number
- 212-733-9796
- Fax Number
- 646-441-4163
License Information
- License Number (1)
- 25MA07697000
- License State (1)
- NJ
- Taxonomy (1)
- Neuromusculoskeletal Medicine, Sports Medicine · 204C00000X · Primary
- License Number (2)
- 202911
- License State (2)
- NY
- Taxonomy (2)
- Ophthalmology · 207W00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Elizabeth E Kim, MD?
The NPI number of Dr. Elizabeth E Kim, MD is 1659404366. It was assigned on March 13, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Elizabeth E Kim, MD?
Dr. Elizabeth E Kim, MD is registered under the primary taxonomy Neuromusculoskeletal Medicine, Sports Medicine (code 204C00000X), licensed in NJ under license number 25MA07697000.
Where does Dr. Elizabeth E Kim, MD practice?
The practice location is 130 W Kingsbridge RD, Bronx, NY 10468-3904. The office can be reached at 917-826-8615 (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 1659404366 directly on the NPPES registry website.