Dr. Jinna Kim, OD
Optometrist in Palisades Park, New Jersey
1972853257- Practice location
- 121 Broad Ave, Palisades Park, NJ 07650-1441
- Phone
- 201-346-1500
- Fax
- —
- Last updated
- September 14, 2013
Jinna Kim is an Optometrist based in Palisades Park, NJ. Jinna Kim practices in Palisades Park, NJ and has the professional credentials of OD. The NPI Number for Jinna Kim is 1972853257 and holds a License No. 27OA00643100 (NJ). The current practice location address for Jinna Kim is 121 Broad Ave, Palisades Park, NJ 07650-1441 and can be reached out via phone at 201-346-1500.
Provider Profile Details
- NPI Number
- 1972853257
- Provider Name
- Jinna Kim
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 121 Broad Ave, Palisades Park, NJ 07650-1441
- Phone Number
- 201-346-1500
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 14, 2012
- Last Update Date
- September 14, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 121 Broad Ave
Palisades Park, NJ 07650-1441 - City
- Palisades Park
- State
- New Jersey
- Zip
- 07650-1441
- Phone Number
- 201-346-1500
Provider Business Mailing Address Details
- Address
- 121 Broad Ave
Palisades Park, NJ 07650-1441 - City
- Palisades Park
- State
- NJ
- Zip
- 07650-1441
- Phone Number
- 201-346-1500
License Information
- License Number
- 27OA00643100
- License State
- NJ
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Palisades Park, NJ
View all Optometrists in Palisades Park →Frequently Asked Questions
What is the NPI number of Dr. Jinna Kim, OD?
The NPI number of Dr. Jinna Kim, OD is 1972853257. It was assigned on September 14, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Jinna Kim, OD?
Dr. Jinna Kim, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00643100.
Where does Dr. Jinna Kim, OD practice?
The practice location is 121 Broad Ave, Palisades Park, NJ 07650-1441. The office can be reached at 201-346-1500 (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 1972853257 directly on the NPPES registry website.