Active NPIIndividual provider

John J Kim, OD

Optometrist in Palisades Park, New Jersey

NPI Number1831146224
Practice location
540 Bergen Blvd, Palisades Park, NJ 07650-2322
Fax
201-242-9061
Last updated
May 27, 2008

John J Kim is an Optometrist based in Palisades Park, NJ. John J Kim practices in Palisades Park, NJ and has the professional credentials of OD. The NPI Number for John J Kim is 1831146224 and holds a License No. 27OA00587000 (NJ). The current practice location address for John J Kim is 540 Bergen Blvd, Palisades Park, NJ 07650-2322 and can be reached out via phone at 201-461-3970 and via fax at 201-242-9061.

Provider Profile Details

NPI Number
1831146224
Provider Name
John J Kim
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
540 Bergen Blvd, Palisades Park, NJ 07650-2322
Phone Number
201-461-3970
Fax Number
201-242-9061
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
May 30, 2006
Last Update Date
May 27, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
540 Bergen Blvd
Palisades Park, NJ 07650-2322
Zip
07650-2322
Phone Number
201-461-3970
Fax Number
201-242-9061
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
540 Bergen Blvd
Palisades Park, NJ 07650-2322
City
Palisades Park
State
NJ
Zip
07650-2322
Phone Number
201-461-3970
Fax Number
201-242-9061

License Information

License Number
27OA00587000
License State
NJ
Taxonomy
Optometrist · 152W00000X · 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 John J Kim, OD?

The NPI number of John J Kim, OD is 1831146224. It was assigned on May 30, 2006 and is currently active in the NPPES registry.

What is the specialty of John J Kim, OD?

John J Kim, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00587000.

Where does John J Kim, OD practice?

The practice location is 540 Bergen Blvd, Palisades Park, NJ 07650-2322. The office can be reached at 201-461-3970 (phone) or 201-242-9061 (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 1831146224 directly on the NPPES registry website.

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