Michael Kim

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

119 E Passaic St
Maywood, NJ 07607-1342

Phone

(201) 880-7787

NPI assigned

Aug 7, 2024

Last updated

Aug 7, 2024By 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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bergenfield Physical Therapy and Rehab Center LLCGroup PAC ID 6709211394, 8 clinicians

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.

• Bergenfield Physical Therapy & Rehab Center LLC

  dba Bergenfield Physical Therapy & Rehab Center

  • Physical Therapy Clinic/Center
  • Bergenfield, NJ
  • NPI 1366093973

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Clifton Physical Therapy & Rehab Center LLC

  • Physical Therapy Clinic/Center
  • Clifton, NJ
  • NPI 1225605363

  Physical Therapist

  Medicare reassignment NPD
• Emerson Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Emerson, NJ
  • NPI 1659837607
  Medicare reassignment NPD
• Maywood Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Maywood, NJ
  • NPI 1568840080
  Medicare reassignment NPD
• Paramus Physical Therapy and Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Paramus, NJ
  • NPI 1124740238
  Medicare reassignment NPD
• Town Chiropractor Paramus LLC

  • Chiropractor
  • Paramus, NJ
  • NPI 1710814884

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1437989977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E PASSAIC ST",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E PASSAIC ST",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071342",
            "telephone_number": "201-880-7787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "253 S Washington Ave Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Bergenfield",
            "state": "NJ",
            "postal_code": "076213739",
            "country_code": "US",
            "telephone_number": "201-371-4056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julwel Ann Kenney, PHD, MS, CDC, CPCMP
• Keystone Cardiovascular Center LLC
• Keystone Geriatric Specialists of New Jersey LLC
• Keystone Internal Medicine and Weight Loss Center LLC
• Baron Kim
• Richard Kim, MD
• Stephanie Konrad, DNP, PMHNP
• Ketan Harshadray Kutlerywala, OD
• Minsun Lee, PH.D.
• Suho Lee, DDS

• Physical Therapist in Maywood, NJ
• Providers in Maywood, 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 Aug 7, 2024; 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.