Active NPIIndividual provider

Mr. Jung T Kim, PT

Physical Therapist in Linden, New Jersey

NPI Number1821127192
Practice location
210 West St. Georges Ave, Linden, NJ 07036
Fax
908-587-1628
Last updated
March 1, 2017

Jung Tae Kim is a Physical Therapist based in Linden, NJ. Jung Tae Kim practices in Linden, NJ and has the professional credentials of PT. The NPI Number for Jung Tae Kim is 1821127192 and holds a License No. 40QA00148400 (NJ). The current practice location address for Jung Tae Kim is 210 West St. Georges Ave, Linden, NJ 07036 and can be reached out via phone at 908-587-1624 and via fax at 908-587-1628.

Provider Profile Details

NPI Number
1821127192
Provider Name
Jung Tae Kim
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
210 West St. Georges Ave, Linden, NJ 07036
Phone Number
908-587-1624
Fax Number
908-587-1628
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
March 5, 2007
Last Update Date
March 1, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
210 West St. Georges Ave
Linden, NJ 07036
City
Linden
Zip
07036
Phone Number
908-587-1624
Fax Number
908-587-1628
Linden, NJ 07036Get directions →

Provider Business Mailing Address Details

Address
66 Overbrook Ave
Edison, NJ 08817-5528
City
Edison
State
NJ
Zip
08817-5528
Phone Number
732-572-7380

License Information

License Number
40QA00148400
License State
NJ
Taxonomy
Physical Therapist · 225100000X · 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 Mr. Jung T Kim, PT?

The NPI number of Mr. Jung T Kim, PT is 1821127192. It was assigned on March 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Jung T Kim, PT?

Mr. Jung T Kim, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00148400.

Where does Mr. Jung T Kim, PT practice?

The practice location is 210 West St. Georges Ave, Linden, NJ 07036. The office can be reached at 908-587-1624 (phone) or 908-587-1628 (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 1821127192 directly on the NPPES registry website.

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