Individual provider Active NPI

Sonia Kim, M.D.

  • Obstetrics & Gynecology Physician
  • Dumont, NJ
National Provider Identifier
1558525840
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA09197100 Issued in NJ
Practice address
125 Washington Ave
Dumont, NJ 07628-3066
Phone
(201) 374-2722
Fax
(201) 374-2723
NPI assigned
Jul 15, 2008
Last updated
Apr 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L1359426 MI
Obstetrics & Gynecology Physician 207V00000X 25MA09197100 NJ Primary

Addresses

Primary practice location

125 Washington Ave
Dumont, NJ 07628-3066

Mailing address

PO Box 419430
Boston, MA 02241-9430
Phone (201) 666-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140313001919 NJ Practitioner - Obstetrics/Gynecology 4183854169 Reassigns benefits to 3 organizations
I20201214001480 NY Practitioner - Obstetrics/Gynecology 4183854169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical and Dental Care, Inc.Group PAC ID 2062487739, 17 clinicians

Practice addresses (Care Compare)

40 Robert Pitt Dr
Monsey, NY 10952-3333
Phone (845) 352-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L1359426MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Health Initiatives Inc Obstetrics & Gynecology CurrentSince Jan 15, 2020 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Ocean Health Initiatives, Inc CurrentSince Jan 15, 2020 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Jan 8, 2019 Accepting new patients
OB Hospitalist Services New Jersey, PA Obstetrics & Gynecology CurrentSince Dec 30, 2024 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
Montefiore Nyack Hospital Past Accepting new patients
Comprehensive Women's Medicine PLLC Past Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

10 Exchange Pl
Fl 15
Jersey City, NJ 07302
Phone (201) 821-8900

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

101 2nd St
Lakewood, NJ 08701
Phone (732) 886-4809

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sonia.kim@direct.christhospital.md
  • Direct secure messaging: soniakim@cmdci.allscriptsdirect.net
  • Direct secure messaging: soniakim@mai.allscriptsdirect.net

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1558525840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419430",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022419430",
            "telephone_number": "201-666-9300",
            "fax_number": "201-261-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WASHINGTON AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076283066",
            "telephone_number": "201-374-2722",
            "fax_number": "201-374-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "L1359426",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA09197100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumont, NJ

Sources for this page

Verify at the official NPI Registry.