Chong M. Kim, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

25MA09395500 Issued in NJ

Practice address

217 N Main St Ste 104
Cape May Court House, NJ 08210

Phone

(609) 463-1488

Fax

(609) 463-4881

NPI assigned

Jul 13, 2006

Last updated

May 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adult & Pediatric Urology of Hunterdon, PA

  • Urology Physician
  • Flemington, NJ
  • NPI 1962534453
  Medicare reassignment NPD
• Atlantic Coast Urology,PA

  • Urology Physician
  • Neptune, NJ
  • NPI 1265635627
  Medicare reassignment NPD
• Advanced Physicians P C

  • Multi-Specialty Clinic/Center
  • Forest Hills, NY
  • NPI 1346563582

  Urology

  Medicare reassignment NPD
• Robert Wood Johnson Physician Enterprise

  • Family Medicine Physician
  • Somerset, NJ
  • NPI 1245587922
  NPD (past)
• Holzer Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Gallipolis, OH
  • NPI 1508817248
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1295750701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 593",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082100593",
            "telephone_number": "609-463-2755",
            "fax_number": "609-463-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N MAIN ST STE 104",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "08210",
            "telephone_number": "609-463-1488",
            "fax_number": "609-463-4881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 E 149th St",
            "address_2": "Suite 2A7",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104515504",
            "country_code": "US",
            "telephone_number": "917-409-7552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHONG",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "207433",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD426470",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA09395500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Patrick Kelly, PT
• Maura Kelly
• Susan Marie Kemenosh, DMD
• Olivia Kennedy-Sharayko
• Charles Kim, PHARMD
• Diana Klitz, PT
• Judi B Knupp, RD
• Henry J Komansky, D.O.
• Eric Konczyk
• Joseph Raymond Krafft, APRN-BC

• Urology Physician in Cape May Court House, NJ
• Providers in Cape May Court House, NJ by specialty
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.