Jong H Kim,MD'S Pain & Rehab Center PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA09332600 Issued in NJ

Legal business name

JONG H KIM,MD'S PAIN & REHAB CENTER PC

Practice address

158 Linwood PLZ
Fort Lee, NJ 07024-3761

Phone

(201) 346-4347

NPI assigned

Aug 26, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jong H Kim, M.D.NPI 1871736256

Title

Board of Director

Phone

(201) 346-4347

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jong Hyun Kim, MD, PHD

  • Physical Medicine & Rehabilitation Physician
  • Fort Lee, NJ
  • NPI 1871736256
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1497155691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CARILLON CIR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392600",
            "telephone_number": "201-233-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 LINWOOD PLZ",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243761",
            "telephone_number": "201-346-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONG H KIM,MD'S PAIN & REHAB CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JONG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BOARD OF DIRECTOR",
        "authorized_official_telephone_number": "201-346-4347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA09332600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kim MD Med & Geriatrics, LLC
• John T. Miele, PH.D.
• Victoria Lecorian Johnson, M.D.
• Joint & Spine Physical Therapy PC
• Rose Marjorie Jones, LCSW-R
• Evan Gee Young Joo
• Joseph C Iraci MD PC
• Nicholas Jovic, PT
• Jessica Jozefiak
• JPW Dental LLC

• Physical Medicine & Rehabilitation Physician in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.