Active NPIIndividual provider

Mr. Richard J Kim, LAC, CA

Acupuncturist in Fort Lee, New Jersey

NPI Number1710167630
Practice location
1577 Center Ave, Fort Lee, NJ 07024-4602
Fax
201-585-5046
Last updated
November 8, 2007

Richard J Kim is an Acupuncturist based in Fort Lee, NJ. Richard J Kim practices in Fort Lee, NJ and has the professional credentials of LAC, CA. The NPI Number for Richard J Kim is 1710167630 and holds a License No. 25MZ00049900 (NJ). The current practice location address for Richard J Kim is 1577 Center Ave, Fort Lee, NJ 07024-4602 and can be reached out via phone at 646-441-1910 and via fax at 201-585-5046.

Provider Profile Details

NPI Number
1710167630
Provider Name
Richard J Kim
Credential
LAC, CA
Provider Entity Type
Individual
Gender
Male
Address
1577 Center Ave, Fort Lee, NJ 07024-4602
Phone Number
646-441-1910
Fax Number
201-585-5046
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
No
Provider Enumeration Date
November 8, 2007
Last Update Date
November 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1577 Center Ave
Fort Lee, NJ 07024-4602
Zip
07024-4602
Phone Number
646-441-1910
Fax Number
201-585-5046
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
1577 Center Ave
Fort Lee, NJ 07024-4602
City
Fort Lee
State
NJ
Zip
07024-4602
Phone Number
646-441-1910
Fax Number
201-585-5046

License Information

License Number (1)
25MZ00049900
License State (1)
NJ
Taxonomy (1)
Acupuncturist · 171100000X · Primary
License Number (2)
0029831
License State (2)
NY
Taxonomy (2)
Acupuncturist · 171100000X

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 Mr. Richard J Kim, LAC, CA?

The NPI number of Mr. Richard J Kim, LAC, CA is 1710167630. It was assigned on November 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Richard J Kim, LAC, CA?

Mr. Richard J Kim, LAC, CA is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NJ under license number 25MZ00049900.

Where does Mr. Richard J Kim, LAC, CA practice?

The practice location is 1577 Center Ave, Fort Lee, NJ 07024-4602. The office can be reached at 646-441-1910 (phone) or 201-585-5046 (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 1710167630 directly on the NPPES registry website.

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