Active NPIIndividual providerSole proprietor

Zachary K Kim

Emergency Medicine in Newark, New Jersey

NPI Number1821675968
Practice location
201 Lyons Ave, Newark, NJ 07112-2027
Fax
—
Last updated
May 28, 2024

Zachary Kwongjo Kim is an Emergency Medicine based in Newark, NJ. Zachary Kwongjo Kim practices in Newark, NJ. The NPI Number for Zachary Kwongjo Kim is 1821675968 and holds a License No. 25MA12179100 (NJ). The current practice location address for Zachary Kwongjo Kim is 201 Lyons Ave, Newark, NJ 07112-2027 and can be reached out via phone at 973-926-7000.

Provider Profile Details

NPI Number
1821675968
Provider Name
Zachary Kwongjo Kim
Provider Entity Type
Individual
Gender
Male
Address
201 Lyons Ave, Newark, NJ 07112-2027
Phone Number
973-926-7000
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 25, 2021
Last Update Date
May 28, 2024
Certification Date
May 28, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Lyons Ave
Newark, NJ 07112-2027
City
Newark
Zip
07112-2027
Phone Number
973-926-7000
Newark, NJ 07112Get directions →

Provider Business Mailing Address Details

Address
4802 10TH Ave
Brooklyn, NY 11219-2916
City
Brooklyn
State
NY
Zip
11219-2916
Phone Number
718-283-6000

License Information

License Number (2)
25MA12179100
License State (2)
NJ
Taxonomy (2)
Emergency Medicine · 207P00000X · Primary
License Number (3)
329020
License State (3)
NY
Taxonomy (3)
Emergency Medicine · 207P00000X

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 Zachary K Kim?

The NPI number of Zachary K Kim is 1821675968. It was assigned on March 25, 2021 and is currently active in the NPPES registry.

What is the specialty of Zachary K Kim?

Zachary K Kim is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NJ under license number 25MA12179100.

Where does Zachary K Kim practice?

The practice location is 201 Lyons Ave, Newark, NJ 07112-2027. The office can be reached at 973-926-7000 (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 1821675968 directly on the NPPES registry website.

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