Sookhee Kim

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00436600 Issued in NJ

Practice address

91 Main St
Paterson, NJ 07505-1026

Phone

(973) 523-4000

NPI assigned

Apr 1, 2015

Last updated

Feb 10, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Longevity Clinical LTC Associates of New Jersey

  • Primary Care Nurse Practitioner
  • Lakewood, NJ
  • NPI 1376114322
  Medicare reassignment NPD

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1093100539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141916",
            "telephone_number": "973-689-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051026",
            "telephone_number": "973-523-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SOOKHEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00436600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aldo Khoury, MD
• Jennifer Y. Kim, CRNA
• Minbae Kim, M.D.
• Nancy Kim
• Songhee Kim
• Vivian Jiyoung Kim, D.D.S.
• Jeffrey James Kinyon, D.O.
• Trixie Kioko-Kamps, CNM
• Charlotte Kirk, DO
• Jaclyn Kirshbaum

• Adult Health Nurse Practitioner in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.