Phillip S Kim, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00576300 Issued in NJ

Practice address

277 Prospect Ave LG
1St FL
Hackensack, NJ 07601-2570

Phone

(201) 968-0303

NPI assigned

Feb 22, 2007

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

Chiropractic

Education

New York Chiropractic College, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Health Center, P.C.Group PAC ID 5294792602, 5 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 and National Provider Directory roles.

• Premier Health Center, P.C.

  • Physical Therapist
  • Hackensack, NJ
  • NPI 1134170103

  Chiropractor

  Medicare reassignment Care Compare group NPD Authorized official
• Prospect Medical PC

  • Internal Medicine Physician
  • Hackensack, NJ
  • NPI 1346365905
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1538294236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 PROSPECT AVE STE LG",
            "address_2": "1ST FL",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012539",
            "telephone_number": "201-968-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 PROSPECT AVE LG",
            "address_2": "1ST FL",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012570",
            "telephone_number": "201-968-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "PHILLIP",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00576300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Elaine Kim, MD
• Maureen L Kim, MD
• Michael Won Jung Kim
• Michelle J Kim, MD
• Oi Chee Kim, PHARMD
• Soo Chong Kim, MD
• Timothy Kim
• William J. Kim, M.D.
• Youngrae Kim, MD
• Yunji Kim, APN

• Chiropractor in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.