NPIMap

Organization Active NPI

Careconnectmd New Jersey PC

  • General Practice Physician
  • Roseland, NJ
National Provider Identifier
1417638990
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CARECONNECTMD NEW JERSEY PC
Practice address
101 Eisenhower Pkwy Ste 300
Roseland, NJ 07068-1054
Phone
(888) 789-9585
NPI assigned
Jul 27, 2023
Last updated
Jan 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Hyong Kim, MDNPI 1396792677
Title
Owner
Phone
(888) 789-9585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

101 Eisenhower Pkwy Ste 300
Roseland, NJ 07068-1054

Mailing address

3090 Bristol St Ste 200
Costa Mesa, CA 92626-3061

Other practice location 1

2564 US Highway 1
Lawrence, NJ 08648-4100
Phone (888) 789-9585

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1417638990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 BRISTOL ST STE 200",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EISENHOWER PKWY STE 300",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681054",
            "telephone_number": "888-789-9585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2564 US Highway 1",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "NJ",
            "postal_code": "086484100",
            "country_code": "US",
            "telephone_number": "888-789-9585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARECONNECTMD NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-789-9585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.