Organization Active NPI

Kathyln M. Kim, MD LLC

  • Gynecology Physician
  • Waldwick, NJ
National Provider Identifier
1346482254
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
25MA06066900 Issued in NJ
Legal business name
KATHYLN M. KIM, MD LLC
Practice address
24 Wyckoff Ave
Suite One
Waldwick, NJ 07463-1758
Phone
(201) 788-0613
Fax
(866) 845-2201
NPI assigned
Mar 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Dr. Kathlyn M Kim, M.D.
Title
Owner
Phone
(201) 788-0613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 25MA06066900 NJ Primary

Addresses

Primary practice location

24 Wyckoff Ave
Suite One
Waldwick, NJ 07463-1758

Mailing address

24 Wyckoff Ave
Suite One
Waldwick, NJ 07463-1758
Phone (201) 788-0613

National Provider Directory

National Provider Directory

Locations

24 Wyckoff Ave
Ste One
Waldwick, NJ 07463
Phone (201) 788-0613

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1346482254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WYCKOFF AVE",
            "address_2": "SUITE ONE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631758",
            "telephone_number": "201-788-0613",
            "fax_number": "866-845-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WYCKOFF AVE",
            "address_2": "SUITE ONE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631758",
            "telephone_number": "201-788-0613",
            "fax_number": "866-845-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHYLN M. KIM, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KATHLYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-788-0613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA06066900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldwick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.