Baron Kim

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

119 E Passaic St
Maywood, NJ 07607-1342

Phone

(201) 880-7787

NPI assigned

Jun 12, 2019

Sex

Male

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, NY2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Northvale Physical Therapy PC

  • Physical Therapist
  • Northvale, NJ
  • NPI 1659138808
  Medicare reassignment NPD Authorized official
• Emerson Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Emerson, NJ
  • NPI 1659837607
  Medicare reassignment NPD
• Maywood Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Maywood, NJ
  • NPI 1568840080
  Medicare reassignment NPD
• Physical Therapy Services of Flatiron PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1134705676

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1205495264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E PASSAIC ST",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071342",
            "telephone_number": "201-880-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E PASSAIC ST",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071342",
            "telephone_number": "201-880-7787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Emerson Plz E",
            "address_purpose": "LOCATION",
            "city": "Emerson",
            "state": "NJ",
            "postal_code": "076301885",
            "country_code": "US",
            "telephone_number": "516-708-3182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "BARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Michelle Keller, MD
• Julwel Ann Kenney, PHD, MS, CDC, CPCMP
• Keystone Cardiovascular Center LLC
• Keystone Geriatric Specialists of New Jersey LLC
• Keystone Internal Medicine and Weight Loss Center LLC
• Michael Kim
• Richard Kim, MD
• Stephanie Konrad, DNP, PMHNP
• Ketan Harshadray Kutlerywala, OD
• Minsun Lee, PH.D.

• Physical Therapist in Maywood, NJ
• Providers in Maywood, 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 Jun 12, 2019; 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.