Dr John Kims Medical Office PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

25MA08080200 Issued in NJ

Legal business name

DR JOHN KIMS MEDICAL OFFICE PC

Practice address

2815 John F Kennedy Blvd
2C
Jersey City, NJ 07306-3900

Phone

(201) 946-6923

Fax

(201) 946-6924

NPI assigned

Mar 7, 2013

Organization subpart

No

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

Authorized official

Name

Doeyoung Kim

Title

M.D.

Phone

(201) 946-6923

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1073854501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 JOHN F KENNEDY BLVD",
            "address_2": "2C",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063936",
            "telephone_number": "201-946-6923",
            "fax_number": "201-946-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 JOHN F KENNEDY BLVD",
            "address_2": "2C",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063900",
            "telephone_number": "201-946-6923",
            "fax_number": "201-946-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOHN KIMS MEDICAL OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DOEYOUNG",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "201-946-6923"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA08080200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.