Richard Kim M D LLC

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

Legal business name

RICHARD KIM M D LLC

Practice address

113 W Essex St
Suite 203
Maywood, NJ 07607-1023

Phone

(201) 880-7766

Fax

(201) 880-7763

NPI assigned

Nov 28, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Richard Y Kim, MDNPI 1407833932

Title

President

Phone

(201) 880-7766

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Kim, MD

  • Plastic and Reconstructive Surgery Physician
  • Maywood, NJ
  • NPI 1407833932

  Surgery of the Hand

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1336682202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W ESSEX ST",
            "address_2": "SUITE 203",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071023",
            "telephone_number": "201-880-7766",
            "fax_number": "201-880-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W ESSEX ST",
            "address_2": "SUITE 203",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071023",
            "telephone_number": "201-880-7766",
            "fax_number": "201-880-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD KIM M D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-880-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla S Proano
• Pooja Ragha, OTR/L
• Redirections, LLC
• Redirections, LLC
• Michel Reyes, RN
• Robert Marriott Medical Corp
• Constantine Rossakis, MD
• Sanjaykumar K Rudani, PHARMACIST
• Douglas Jay Saphier, M.D., MPH
• Catherine Sarmiento

• Surgery of the Hand (Plastic Surgery) Physician in Maywood, NJ
• Providers in Maywood, NJ by specialty
• Surgery of the Hand (Plastic Surgery) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.