Yeun Sook Kim, MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

115203 Issued in NY

Practice address

533 Cumberland St
Englewood, NJ 07631-4705

Phone

(201) 568-7109

NPI assigned

Jan 21, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1154626133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 CUMBERLAND ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314705",
            "telephone_number": "201-568-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 CUMBERLAND ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314705",
            "telephone_number": "201-568-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YEUN",
        "middle_name": "SOOK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "115203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEDIATRICS",
            "identifier": "115203",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Min Gee Kim
• Seokyung Kim, APN
• Sophia Kim
• Sung Won Kim
• Tara Kim, M.D.
• Yoon Hee Kim
• Yun Hui Kim
• Kimberlie Yun, DMD, LLC
• Ilana Ariel Kipnis, D.O.
• Kirk J Levy MD PC

• Primary Care Clinic/Center in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.