Metuchen Electrodiagnostics, LLC

Primary specialty

Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X

License

MA38336 Issued in NJ

Legal business name

METUCHEN ELECTRODIAGNOSTICS, LLC

Practice address

239 Bridge St
Metuchen, NJ 08840-2292

Phone

(732) 635-1577

NPI assigned

May 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Okja Kim, M.D.

Title

Manager

Phone

(732) 635-1577

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1033327713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 BRIDGE ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402292",
            "telephone_number": "732-635-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 BRIDGE ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402292",
            "telephone_number": "732-635-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METUCHEN ELECTRODIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "OKJA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-635-1577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "NJ",
            "license": "MA38336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.