Individual provider Active NPI

Frances Dae Il Yim, M.D.

  • Pulmonary Disease Physician
  • Rahway, NJ
National Provider Identifier
1073573713
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA03563300 Issued in NJ
Practice address
913 W Inman Ave
Rahway, NJ 07065-1531
Phone
(732) 388-7999
Fax
(732) 388-7992
NPI assigned
Mar 25, 2006
Last updated
Jul 13, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 25MA03563300 NJ Primary

Addresses

Primary practice location

913 W Inman Ave
Rahway, NJ 07065-1531

Mailing address

913 W Inman Ave
Rahway, NJ 07065-1531
Phone (732) 388-7999

Other identifiers 1

IdentifierTypeStateIssuer
0576808MedicaidNJ

Other names 1

  • Mrs. Frances Dae Il Yim Kim Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Diseases and Hypertension Center LLC Past Accepting new patients
Medicine Plus LLC PastSince Apr 22, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1073573713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 W INMAN AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070651531",
            "telephone_number": "732-388-7999",
            "fax_number": "732-388-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 W INMAN AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070651531",
            "telephone_number": "732-388-7999",
            "fax_number": "732-388-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIM",
        "first_name": "FRANCES",
        "middle_name": "DAE IL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-25",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA03563300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0576808",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCES",
            "last_name": "KIM",
            "middle_name": "DAE IL YIM",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rahway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.