Organization Active NPI

Steve Y. Kim M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Englewood Cliffs, NJ
National Provider Identifier
1518082213
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
MA069506 Issued in NJ
Legal business name
STEVE Y. KIM M.D.
Practice address
385 Sylvan Ave
Suite #26
Englewood Cliffs, NJ 07632-2726
Phone
(201) 569-9130
Fax
(201) 569-9131
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Grace J Kim
Title
Staff
Phone
(201) 569-9130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X MA069506 NJ Primary

Addresses

Primary practice location

385 Sylvan Ave
Suite #26
Englewood Cliffs, NJ 07632-2726

Mailing address

385 Sylvan Ave
Suite #26
Englewood Cliffs, NJ 07632-2726
Phone (201) 569-9130

Other identifiers 2

IdentifierTypeStateIssuer
8015805MedicaidNJ
01979804MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518082213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 SYLVAN AVE",
            "address_2": "SUITE #26",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322726",
            "telephone_number": "201-569-9130",
            "fax_number": "201-569-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 SYLVAN AVE",
            "address_2": "SUITE #26",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322726",
            "telephone_number": "201-569-9130",
            "fax_number": "201-569-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE Y. KIM M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "STAFF",
        "authorized_official_telephone_number": "201-569-9130",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NJ",
            "license": "MA069506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8015805",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01979804",
            "state": "NJ"
        }
    ],
    "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 22, 2020; 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.