Sungeun Kim

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01165400 Issued in NJ

Practice address

905 Allwood Rd Ste 206
Clifton, NJ 07012-1946

Phone

(201) 221-6015

Fax

(888) 404-1323

NPI assigned

Apr 8, 2008

Last updated

Sep 22, 2016By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Now Pain Clinc PC

  • Physical Disabilities Residential Treatment Facility
  • Palisades Park, NJ
  • NPI 1295019529
  Medicare reassignment Authorized official
• Grand Home Care LLC

  • Home Health Agency
  • Palisades Park, NJ
  • NPI 1063024743
  NPD Authorized official
• Comprehensive Pain Therapy Center, PC

  • Rehabilitation Practitioner
  • Englewood, NJ
  • NPI 1851478846
  NPD (past)
• Our Home Adult Day Care, LLC

  • Adult Day Care Clinic/Center
  • Englewood, NJ
  • NPI 1568986131
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1366615742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 ALLWOOD RD STE 206",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121946",
            "telephone_number": "201-221-6015",
            "fax_number": "888-404-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ALLWOOD RD STE 206",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121946",
            "telephone_number": "201-221-6015",
            "fax_number": "888-404-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNGEUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01165400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366615742",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hana Kim, PHARM D
• Hansuk Kim, DDS
• Helen M Kim, D.P.T.
• Jungho Kim
• Sumi Kim, DMD
• Wanchu Thomas Kim, MD
• Melissa King
• Mayuri Kinkhabwala, MD
• Daniel William Kistner II
• Brittney Kittrell

• Physical Therapist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.