Bomee Kim

Primary specialty

AudiologistTaxonomy code 231H00000X

License

41YA00131000 Issued in NJ

Practice address

1 Broadway Ste 302
Elmwood Park, NJ 07407-1845

Phone

(201) 773-8962

Fax

(201) 773-8963

NPI assigned

Jul 16, 2024

Last updated

Jul 16, 2024By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Audslp Diagnostic and Rehabilitation Clinic

  • Clinic/Center
  • Elmwood Park, NJ
  • NPI 1891092755
  Medicare reassignment NPD
• Audslp Diagnostic and Rehabilitation Clinic

  dba Audslp Diagnostic and Rehabilitation Clinic 2

  • Audiologist
  • Elmwood Park, NJ
  • NPI 1275005852
  NPD

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1578301388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROADWAY STE 302",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071845",
            "telephone_number": "201-773-8962",
            "fax_number": "201-773-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROADWAY STE 302",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071845",
            "telephone_number": "201-773-8962",
            "fax_number": "201-773-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BOMEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00131000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Alan Katz, DMD
• J. Patrick Kelly, PHD
• Paul Kezmarsky
• Fuad M Kiblawi, M.D.
• Wanda Kietlinski, RPH
• Lawrence Kim, DPT
• Yeonsoo Kim
• Danielle Labianco, MED, ATC
• Leonid Lamper, MD
• Michelle Laski, APN

• Audiologist in Elmwood Park, NJ
• Providers in Elmwood Park, NJ by specialty
• Audiologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.