Active NPIIndividual providerSole proprietor

Dr. Eunja Kim, MD

Pediatrics in Fort Lee, New Jersey

NPI Number1770679409
Practice location
2180 Center Ave, Ste.1, Fort Lee, NJ 07024-5860
Fax
—
Last updated
July 25, 2014

Eunja Kim is a Pediatrics based in Fort Lee, NJ. Eunja Kim practices in Fort Lee, NJ and has the professional credentials of MD. The NPI Number for Eunja Kim is 1770679409 and holds a License No. ma66976 (NJ). The current practice location address for Eunja Kim is 2180 Center Ave, Ste.1, Fort Lee, NJ 07024-5860 and can be reached out via phone at 201-461-6677.

Provider Profile Details

NPI Number
1770679409
Provider Name
Eunja Kim
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2180 Center Ave, Ste.1, Fort Lee, NJ 07024-5860
Phone Number
201-461-6677
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
October 4, 2006
Last Update Date
July 25, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
2180 Center Ave
Ste.1
Fort Lee, NJ 07024-5860
Zip
07024-5860
Phone Number
201-461-6677
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
16410 Northern Blvd
Ste 207
Flushing, NY 11358-2677
City
Flushing
State
NY
Zip
11358-2677
Phone Number
201-370-7379

License Information

License Number (1)
ma66976
License State (1)
NJ
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
198971-1
License State (2)
NY
Taxonomy (2)
Pediatrics · 208000000X · 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 Dr. Eunja Kim, MD?

The NPI number of Dr. Eunja Kim, MD is 1770679409. It was assigned on October 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Eunja Kim, MD?

Dr. Eunja Kim, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number ma66976.

Where does Dr. Eunja Kim, MD practice?

The practice location is 2180 Center Ave, Ste.1, Fort Lee, NJ 07024-5860. The office can be reached at 201-461-6677 (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 1770679409 directly on the NPPES registry website.

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