Christopher C. Kim, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA07159600 Issued in NJ

Practice address

34 Progress St # 36
Suite a 7
Edison, NJ 08820-1103

Phone

(732) 669-0077

Fax

(732) 669-0076

NPI assigned

Aug 3, 2006

Sex

Male

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Christopher Kim Rehab.,Inc.

  • Physical Medicine & Rehabilitation Physician
  • Edison, NJ
  • NPI 1225048697
  Medicare reassignment NPD Authorized official
• Metro Pain MD PC

  • Physical Medicine & Rehabilitation Physician
  • Highland Park, NJ
  • NPI 1598638280
  Medicare reassignment NPD Authorized official
• Christopher Kim M.D., PC

  • Physical Medicine & Rehabilitation Physician
  • Edison, NJ
  • NPI 1265722144
  NPD Authorized official
• Consultants in Rehabilitation Medicine,LLC

  • Rehabilitation Practitioner
  • Edison, NJ
  • NPI 1235200197
  NPD (past)
• Grand Home Care LLC

  • Home Health Agency
  • Palisades Park, NJ
  • NPI 1063024743
  NPD (past)
• Now Pain Clinc PC

  • Physical Disabilities Residential Treatment Facility
  • Palisades Park, NJ
  • NPI 1295019529
  NPD (past)

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": "1164430468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 REVERE BLVD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201907",
            "telephone_number": "732-669-0077",
            "fax_number": "732-669-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PROGRESS ST # 36",
            "address_2": "SUITE A 7",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201103",
            "telephone_number": "732-669-0077",
            "fax_number": "732-669-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHRISTOPHER",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA07159600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8968209",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shruti Vikas Khokha, OTR/L
• Sohaib Khokhar, PHARMD
• Khush Therapy Services LLC
• Kidney Life, LLC
• Alice Kim
• Daegyun Kim, PT, LAC
• Ellen Kim
• Hazel H Kim, M.D.
• Hyunsuk Kim, PHARM.D.
• Kayleen J Kim, APN

• Physical Medicine & Rehabilitation Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• 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.

Verify at the official NPI Registry.