Organization Active NPI

Christopher Kim MD PC

  • Physical Medicine & Rehabilitation Physician
  • Edison, NJ
National Provider Identifier
1376833236
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA07159600 Issued in NJ
Legal business name
CHRISTOPHER KIM MD PC
Practice address
34-36 Progress St Ste A7
Edison, NJ 08820-1197
Phone
(908) 769-1440
NPI assigned
Apr 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Dr. Christopher Kim, MD
Title
President
Phone
(908) 769-1440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 25MA07159600 NJ Primary

Addresses

Primary practice location

34-36 Progress St Ste A7
Edison, NJ 08820-1197

Mailing address

34-36 Progress St Ste A7
Edison, NJ 08820-1197
Phone (908) 769-1440

Other identifiers 1

IdentifierTypeStateIssuer
1164430468OtherNJNPI

National Provider Directory

National Provider Directory

Locations

34-36 Progress St
#7
Edison, NJ 08820
Phone (973) 449-9854

21 Grand Ave
Ste 504
Palisades Park, NJ 07650
Phone (201) 941-0990

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1376833236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34-36 PROGRESS ST STE A7",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201197",
            "telephone_number": "908-769-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34-36 PROGRESS ST STE A7",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201197",
            "telephone_number": "908-769-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER KIM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-769-1440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA07159600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164430468",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.