Individual provider Active NPI

Kil Hwan Kim, L.AC

  • Acupuncturist
  • Rahway, NJ
National Provider Identifier
1124350376
Registry record updated Dec 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00064200 Issued in NJ
Practice address
1519 Irving St
Rahway, NJ 07065-4035
Phone
(646) 483-9733
NPI assigned
Feb 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 002928-1 NY
Acupuncturist 171100000X 25MZ00064200 NJ Primary

Addresses

Primary practice location

1519 Irving St
Rahway, NJ 07065-4035

Mailing address

1519 Irving St
Rahway, NJ 07065-4035
Phone (646) 483-9733

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25MZ00064200NJMDAcupuncturist
002928-1NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Wva Acu Health Acupuncturist Current Accepting new patients
Wellnest Acu Acupuncturist Current Accepting new patients

Locations

1519 Irving St
Rahway, NJ 07065
Phone (848) 666-7098

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513900800000",
    "number": "1124350376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 IRVING ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070654035",
            "telephone_number": "646-483-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 IRVING ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070654035",
            "telephone_number": "646-483-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KIL HWAN",
        "name_prefix": "Mr.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-12",
        "last_updated": "2017-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002928-1",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00064200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 22, 2017; 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.