Hyung Kim, D.P.T., M.S.O.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01219600 Issued in NJ

Practice address

1038 Bergen Blvd
Fort Lee, NJ 07024-1655

Phone

(201) 566-3554

Fax

(201) 941-7995

NPI assigned

Feb 8, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sunwood Rehab

  • Physical Therapist
  • Fort Lee, NJ
  • NPI 1376790436

  Acupuncturist

  Medicare reassignment NPD

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1144408451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 BERGEN BLVD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070241655",
            "telephone_number": "201-566-3554",
            "fax_number": "201-941-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 BERGEN BLVD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070241655",
            "telephone_number": "201-566-3554",
            "fax_number": "201-941-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYUNG",
        "name_prefix": "Dr.",
        "credential": "D.P.T., M.S.O.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-08",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01219600",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00483100",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "150985",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dongwoo Kim, LAC
• Eunice Y Kim
• Eunja Kim, M.D.
• Grace Jiae Kim
• Hyun J Kim, L.AC
• James Chongho Kim, R.PH
• Jeongwon Kim, M.D.
• John Kim, D.C.
• John Kim, M.D.
• John S Kim, M.D.

• Physical Therapist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.