Active NPIIndividual providerSole proprietor

Hae Ok Kim, NP

Nurse Practitioner, Acute Care in Newark, New Jersey

NPI Number1881068435
Practice location
201 Lyons Ave, Newark, NJ 07112-2027
Fax
—
Last updated
August 6, 2020

Hae Ok Kim is a Nurse Practitioner, Acute Care based in Newark, NJ. Hae Ok Kim practices in Newark, NJ and has the professional credentials of NP. The NPI Number for Hae Ok Kim is 1881068435 and holds a License No. 26NJ00601400 (NJ). The current practice location address for Hae Ok Kim is 201 Lyons Ave, Newark, NJ 07112-2027 and can be reached out via phone at 201-820-7296.

Provider Profile Details

NPI Number
1881068435
Provider Name
Hae Ok Kim
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
201 Lyons Ave, Newark, NJ 07112-2027
Phone Number
201-820-7296
Primary Taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Sole Proprietor
Yes
Provider Enumeration Date
November 19, 2015
Last Update Date
August 6, 2020
Certification Date
August 6, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Lyons Ave
Newark, NJ 07112-2027
City
Newark
Zip
07112-2027
Phone Number
201-820-7296
Newark, NJ 07112Get directions →

Provider Business Mailing Address Details

Address
3020 Edwin Ave Apt 1C
Fort Lee, NJ 07024-3414
City
Fort Lee
State
NJ
Zip
07024-3414
Phone Number
201-820-7296

License Information

License Number
26NJ00601400
License State
NJ
Taxonomy
Nurse Practitioner, Acute Care · 363LA2100X · 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 Hae Ok Kim, NP?

The NPI number of Hae Ok Kim, NP is 1881068435. It was assigned on November 19, 2015 and is currently active in the NPPES registry.

What is the specialty of Hae Ok Kim, NP?

Hae Ok Kim, NP is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in NJ under license number 26NJ00601400.

Where does Hae Ok Kim, NP practice?

The practice location is 201 Lyons Ave, Newark, NJ 07112-2027. The office can be reached at 201-820-7296 (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 1881068435 directly on the NPPES registry website.

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