Kim, John

Kim, John is an individual health care provider with primary practice located at 158 Linwood Plz Ste 324-325 , Fort Lee NJ 07024-3761. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kim, John can be contacted via phone (201) 944-7300.

Contact Information

Primary practice address
158 Linwood Plz Ste 324-325 Fort Lee NJ 07024-3761
Phone: (201) 944-7300
Fax: (201) 944-7311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 25MA06862000 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA06862000 New Jersey

Profile Details

NPI number 1659359263
LBN Legal business name Kim, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jul 21st, 2022 - about 2 years 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 1659359263 NPPES
New Jersey MEDICAID 7954604
New Jersey MEDICAID 7954603
New Jersey Other 1891011854

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