Ann Kim MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ANN KIM MD PC

Practice address

44 Sylvan Ave
Suite 2D
Englewood Cliffs, NJ 07632-2426

Phone

(201) 585-0957

Fax

(201) 585-0944

NPI assigned

Dec 30, 2013

Last updated

Dec 30, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ann D Kim, MDNPI 1588829352

Title

President

Phone

(201) 961-2808

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann Donghyun Kim, M.D.

  • Internal Medicine Physician
  • Englewood Cliffs, NJ
  • NPI 1588829352
  Medicare reassignment Authorized official
• Jenny Jee Young Hong, APN

  • Adult Health Nurse Practitioner
  • Englewood Cliffs, NJ
  • NPI 1215342696
  Medicare reassignment
• Sara J Sung, FNP

  • Family Nurse Practitioner
  • Paramus, NJ
  • NPI 1184105512
  NPD (past)

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1235550716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ANDERSON AVE",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242330",
            "telephone_number": "201-585-0957",
            "fax_number": "201-585-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SYLVAN AVE",
            "address_2": "SUITE 2D",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322426",
            "telephone_number": "201-585-0957",
            "fax_number": "201-585-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN KIM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-961-2808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0174653",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.