Jung Hee Kim

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00622900 Issued in NJ

Practice address

260 Prospect Ave
366
Hackensack, NJ 07601-2600

Phone

(973) 747-8423

NPI assigned

Oct 6, 2016

Sex

Female

Sole proprietor

No

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

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Excellent Homecare of NJ LLC

  • Physical Therapist
  • Wayne, NJ
  • NPI 1427602549
  Medicare reassignment NPD
• A&J Visuals LLC

  • Physical Medicine & Rehabilitation Physician
  • Elmwood Park, NJ
  • NPI 1013746395
  NPD (past)

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1154871770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 PROSPECT AVE",
            "address_2": "366",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012600",
            "telephone_number": "973-747-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 PROSPECT AVE",
            "address_2": "366",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012600",
            "telephone_number": "973-747-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUNG HEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00622900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kim
• Dohyun Kim, L.AC., D.A.O.M.
• Hannah Seonghyun Kim, M.D.
• Hyong R Kim, L.AC.
• Jane Suhyoung Kim, MD
• Katherine Elaine Kim, MD
• Maureen L Kim, MD
• Michael Won Jung Kim
• Michelle J Kim, MD
• Oi Chee Kim, PHARMD

• Occupational Therapist in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.