Active NPI
Okja K Kim, M.D.
- Physical Medicine & Rehabilitation Physician
- Metuchen, NJ
National Provider Identifier
1760435101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MA038336
- Practice address
- 239 Bridge St
Metuchen, NJ 08840-2292 - Phone
- (732) 635-1577
- Fax
- (732) 635-1576
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MA038336 | NJ | Primary |
Addresses
Primary practice location
239 Bridge St
Metuchen, NJ 08840-2292
Mailing address
239 Bridge St
Metuchen, NJ 08840-2292
Phone (732) 635-1577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA038336 | NJ | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1760435101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 BRIDGE ST",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088402292",
"telephone_number": "732-635-1577",
"fax_number": "732-635-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 BRIDGE ST",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088402292",
"telephone_number": "732-635-1577",
"fax_number": "732-635-1576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "OKJA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "MA038336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metuchen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.