Active NPIIndividual providerSole proprietor

Dr. Martin S Kim, OD

Optometrist in Palisades Park, New Jersey

NPI Number1801827795
Practice location
121 Broad Ave, Palisades Park, NJ 07650-1441
Fax
201-346-1549
Last updated
March 31, 2017

Martin Sung Kim is an Optometrist based in Palisades Park, NJ. Martin Sung Kim practices in Palisades Park, NJ and has the professional credentials of OD. The NPI Number for Martin Sung Kim is 1801827795 and holds a License No. 006044 (NY). The current practice location address for Martin Sung Kim is 121 Broad Ave, Palisades Park, NJ 07650-1441 and can be reached out via phone at 201-346-1500 and via fax at 201-346-1549.

Provider Profile Details

NPI Number
1801827795
Provider Name
Martin Sung Kim
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
121 Broad Ave, Palisades Park, NJ 07650-1441
Phone Number
201-346-1500
Fax Number
201-346-1549
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 6, 2006
Last Update Date
March 31, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
121 Broad Ave
Palisades Park, NJ 07650-1441
Zip
07650-1441
Phone Number
201-346-1500
Fax Number
201-346-1549
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
234 Knox Ave
Unit B
Cliffside Park, NJ 07010-2510
City
Cliffside Park
State
NJ
Zip
07010-2510
Phone Number
201-421-9319
Fax Number
201-945-3470

License Information

License Number (1)
006044
License State (1)
NY
Taxonomy (1)
Optometrist · 152W00000X · Primary
License Number (2)
27OA00604800
License State (2)
NJ
Taxonomy (2)
Optometrist · 152W00000X

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. Martin S Kim, OD?

The NPI number of Dr. Martin S Kim, OD is 1801827795. It was assigned on July 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Martin S Kim, OD?

Dr. Martin S Kim, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NY under license number 006044.

Where does Dr. Martin S Kim, OD practice?

The practice location is 121 Broad Ave, Palisades Park, NJ 07650-1441. The office can be reached at 201-346-1500 (phone) or 201-346-1549 (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 1801827795 directly on the NPPES registry website.

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