Kim, Jeong Eun

Kim, Jeong Eun is an sole proprietor health care provider with primary practice located at 94 Old Short Hills Rd , Livingston NJ 07039-5668. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Kim, Jeong Eun can be contacted via phone (973) 322-5437.

Contact Information

Primary practice address
94 Old Short Hills Rd Livingston NJ 07039-5668
Phone: (973) 322-5437
Fax: (973) 322-8833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA10655700 New Jersey
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 25MA10655700 New Jersey

Profile Details

NPI number 1538402300
LBN Legal business name Kim, Jeong Eun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2013
Last updated Apr 30th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538402300 NPPES
New Jersey MEDICAID 0716375

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