Active NPIIndividual providerSole proprietor

Young J Kim, PT, DPT, CSCS

Physical Therapist in Fort Lee, New Jersey

NPI Number1982579322
Practice location
810 Abbott Blvd Ste 104, Fort Lee, NJ 07024-4116
Fax
—
Last updated
October 7, 2025

Young Jin Kim is a Physical Therapist based in Fort Lee, NJ. Young Jin Kim practices in Fort Lee, NJ and has the professional credentials of PT, DPT, CSCS. The NPI Number for Young Jin Kim is 1982579322 and holds a License No. 40QA02375000 (NJ). The current practice location address for Young Jin Kim is 810 Abbott Blvd Ste 104, Fort Lee, NJ 07024-4116 and can be reached out via phone at 201-655-3300.

Provider Profile Details

NPI Number
1982579322
Provider Name
Young Jin Kim
Credential
PT, DPT, CSCS
Provider Entity Type
Individual
Gender
Male
Address
810 Abbott Blvd Ste 104, Fort Lee, NJ 07024-4116
Phone Number
201-655-3300
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
October 7, 2025
Last Update Date
October 7, 2025
Certification Date
October 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
810 Abbott Blvd Ste 104
Fort Lee, NJ 07024-4116
Zip
07024-4116
Phone Number
201-655-3300
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
991 US Highway 22 Ste 200V
Bridgewater, NJ 08807-2957
City
Bridgewater
State
NJ
Zip
08807-2957
Phone Number
201-655-3300

License Information

License Number
40QA02375000
License State
NJ
Taxonomy
Physical Therapist · 225100000X · 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 Young J Kim, PT, DPT, CSCS?

The NPI number of Young J Kim, PT, DPT, CSCS is 1982579322. It was assigned on October 7, 2025 and is currently active in the NPPES registry.

What is the specialty of Young J Kim, PT, DPT, CSCS?

Young J Kim, PT, DPT, CSCS is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02375000.

Where does Young J Kim, PT, DPT, CSCS practice?

The practice location is 810 Abbott Blvd Ste 104, Fort Lee, NJ 07024-4116. The office can be reached at 201-655-3300 (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 1982579322 directly on the NPPES registry website.

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