Active NPI
Chee Gap Kim, MD
- Rehabilitation Practitioner
- Englewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 51283
- Practice address
- 535 Grand Ave
Second Floor
Englewood, NJ 07631-4934 - Phone
- (201) 541-1111
- Fax
- (201) 541-0777
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 51283 | NJ | Primary |
Addresses
Primary practice location
535 Grand Ave
Second Floor
Englewood, NJ 07631-4934
Mailing address
535 Grand Ave
Second Floor
Englewood, NJ 07631-4934
Phone (201) 541-1111
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
535 Grand Ave
Englewood, NJ 07631-4934
Merit-based Incentive Payment System (MIPS)
- Final score
- 26.32 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 87.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51283 | NJ | MD | Rehabilitation Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Home Adult Day Care, LLC | Current | Accepting new patients |
Locations
475 Grand Ave
Fl 2
Englewood, NJ 07631
Phone (201) 541-1111
535 Grand Ave
#2
Englewood, NJ 07631
Phone (201) 541-1111
475 Grand Ave
Englewood, NJ 07631
Phone (201) 871-4545
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.
-
- Adult Day Care Clinic/Center
- Englewood, NJ
- NPI 1568986131
-
- Rehabilitation Practitioner
- Englewood, NJ
- NPI 1851478846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093723314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 GRAND AVE",
"address_2": "SECOND FLOOR",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314934",
"telephone_number": "201-541-1111",
"fax_number": "201-541-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 GRAND AVE",
"address_2": "SECOND FLOOR",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314934",
"telephone_number": "201-541-1111",
"fax_number": "201-541-0777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CHEE",
"middle_name": "GAP",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NJ",
"license": "51283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.