Richard J Kim, LAC., C.A.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00049900 Issued in NJ

Practice address

1577 Center Ave
Fort Lee, NJ 07024-4602

Phone

(646) 441-1910

Fax

(201) 585-5046

NPI assigned

Nov 8, 2007

Last updated

Nov 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Chiropractic Center of Fort Lee

  • Chiropractor
  • Fort Lee, NJ
  • NPI 1033478938
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1710167630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 CENTER AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244602",
            "telephone_number": "646-441-1910",
            "fax_number": "201-585-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 CENTER AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244602",
            "telephone_number": "646-441-1910",
            "fax_number": "201-585-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LAC., C.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00049900",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "0029831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate E Kim
• Michele Kim, C.PED
• Mina Kim, DDS
• Miyang Kim
• Richard Kim
• Rose Ann Kim
• Ruby Kim, M.D.
• Sarah Kim
• Sarah Shin Young Kim, NP
• Seung Eun Kim

• Acupuncturist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.