Individual provider Active NPI

Christine S Kim, RD

  • Registered Dietitian
  • Englewood Cliffs, NJ
National Provider Identifier
1407157936
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86101311
Practice address
140 Sylvan Ave Ste 301a
Englewood Cliffs, NJ 07632-2531
Phone
(201) 655-8483
Fax
(201) 461-2503
NPI assigned
Nov 15, 2010
Reactivated
Nov 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86101311 Primary

Addresses

Primary practice location

140 Sylvan Ave Ste 301a
Englewood Cliffs, NJ 07632-2531

Mailing address

140 Sylvan Ave Ste 301a
Englewood Cliffs, NJ 07632-2531
Phone (201) 655-8483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200129001294 NJ Practitioner - Registered Dietitian Or Nutrition Professional 1052747722 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Nutrition Clinic LLC Dietitian, Registered CurrentSince Dec 2, 2019 Accepting new patients

Locations

140 Sylvan Ave
Ste 301A
Englewood Cliffs, NJ 07632
Phone (201) 655-8483

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1407157936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SYLVAN AVE STE 301A",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322531",
            "telephone_number": "201-655-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SYLVAN AVE STE 301A",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322531",
            "telephone_number": "201-655-8483",
            "fax_number": "201-461-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHRISTINE",
        "middle_name": "S",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "deactivation_date": "2019-11-18",
        "reactivation_date": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86101311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.