Active NPIIndividual providerSole proprietor

John S Kim, MD

Specialist in Fort Lee, New Jersey

NPI Number1831152867
Practice location
2500 Lemoine Ave, Fort Lee, NJ 07024-6232
Fax
201-461-3614
Last updated
July 26, 2010

John S Kim is a Specialist based in Fort Lee, NJ. John S Kim practices in Fort Lee, NJ and has the professional credentials of MD. The NPI Number for John S Kim is 1831152867 and holds a License No. MA38785 (NJ). The current practice location address for John S Kim is 2500 Lemoine Ave, Fort Lee, NJ 07024-6232 and can be reached out via phone at 201-461-8110 and via fax at 201-461-3614.

Provider Profile Details

NPI Number
1831152867
Provider Name
John S Kim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2500 Lemoine Ave, Fort Lee, NJ 07024-6232
Phone Number
201-461-8110
Fax Number
201-461-3614
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
April 10, 2006
Last Update Date
July 26, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
2500 Lemoine Ave
Fort Lee, NJ 07024-6232
Zip
07024-6232
Phone Number
201-461-8110
Fax Number
201-461-3614
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
2500 Lemoine Ave
Fort Lee, NJ 07024-6232
City
Fort Lee
State
NJ
Zip
07024-6232
Phone Number
201-461-8110
Fax Number
201-461-3614

License Information

License Number
MA38785
License State
NJ
Taxonomy
Specialist · 174400000X · 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 S Kim, MD?

The NPI number of John S Kim, MD is 1831152867. It was assigned on April 10, 2006 and is currently active in the NPPES registry.

What is the specialty of John S Kim, MD?

John S Kim, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number MA38785.

Where does John S Kim, MD practice?

The practice location is 2500 Lemoine Ave, Fort Lee, NJ 07024-6232. The office can be reached at 201-461-8110 (phone) or 201-461-3614 (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 1831152867 directly on the NPPES registry website.

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