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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659359263 | NPPES |
New Jersey | MEDICAID | 7954604 | |
New Jersey | MEDICAID | 7954603 | |
New Jersey | Other | 1891011854 |
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