Sungsik Kim, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00729500 Issued in NJ

Practice address

21 Grand Ave Ste 516
Palisades Park, NJ 07650-1083

Phone

(201) 313-0313

NPI assigned

Oct 14, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1245601335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GRAND AVE",
            "address_2": "SUITE 516",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "07650",
            "telephone_number": "201-923-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GRAND AVE STE 516",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501083",
            "telephone_number": "201-313-0313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 E Allegheny Ave Ste 305A",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191344427",
            "country_code": "US",
            "telephone_number": "646-245-8253",
            "fax_number": "856-281-9781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Church Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080539402",
            "country_code": "US",
            "telephone_number": "646-245-8253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNGSIK",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-14",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00729500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Kim, MDPP COACH
• Martin Sung Kim, OD
• Sean Kim, DC
• Seung Hee Kim
• Steven Kim, DMD
• Yeonju Kim
• Yoonjoo Kim, M.D.
• Jill Marie Koerner, RPH
• Ashley Kwak
• Soochung Karen Kwak, D.M.D.

• Chiropractor in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.