Dongjin Kim, APN
Nurse Practitioner, Psych/Mental Health in Englewood, New Jersey
1811447501- Practice location
- 350 Engle St, Englewood, NJ 07631-1808
- Phone
- 201-292-1400
- Fax
- —
- Last updated
- January 22, 2025
Dongjin Kim is a Nurse Practitioner, Psych/Mental Health based in Englewood, NJ. Dongjin Kim practices in Englewood, NJ and has the professional credentials of APN. The NPI Number for Dongjin Kim is 1811447501 and holds a License No. F402047 (NY). The current practice location address for Dongjin Kim is 350 Engle St, Englewood, NJ 07631-1808 and can be reached out via phone at 201-292-1400.
Provider Profile Details
- NPI Number
- 1811447501
- Provider Name
- Dongjin Kim
- Credential
- APN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 350 Engle St, Englewood, NJ 07631-1808
- Phone Number
- 201-292-1400
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 6, 2016
- Last Update Date
- January 22, 2025
- Certification Date
- January 22, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 350 Engle St
Englewood, NJ 07631-1808 - City
- Englewood
- State
- New Jersey
- Zip
- 07631-1808
- Phone Number
- 201-292-1400
Provider Business Mailing Address Details
- Address
- 2015 Grand Concourse
Bronx, NY 10453-4303 - City
- Bronx
- State
- NY
- Zip
- 10453-4303
- Phone Number
- 592-799-2817
License Information
- License Number (1)
- F402047
- License State (1)
- NY
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (2)
- 26NJ00832600
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
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 Dongjin Kim, APN?
The NPI number of Dongjin Kim, APN is 1811447501. It was assigned on October 6, 2016 and is currently active in the NPPES registry.
What is the specialty of Dongjin Kim, APN?
Dongjin Kim, APN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NY under license number F402047.
Where does Dongjin Kim, APN practice?
The practice location is 350 Engle St, Englewood, NJ 07631-1808. The office can be reached at 201-292-1400 (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 1811447501 directly on the NPPES registry website.