Eunja Kim, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

198971-1 Issued in NY

Practice address

2180 Center Ave
Ste.1
Fort Lee, NJ 07024-5860

Phone

(201) 461-6677

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1770679409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16410 NORTHERN BLVD",
            "address_2": "STE 207",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582677",
            "telephone_number": "201-370-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 CENTER AVE",
            "address_2": "STE.1",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245860",
            "telephone_number": "201-461-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "EUNJA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA66976",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "198971-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "8H6982",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P961741",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane M. Kim, OD
• Doam Kim, L.AC.
• Dong Woong Kim, D.D.S
• Dongwoo Kim, LAC
• Eunice Y Kim
• Grace Jiae Kim
• Hyun J Kim, L.AC
• Hyung Kim, D.P.T., M.S.O.T
• James Chongho Kim, R.PH
• Jeongwon Kim, M.D.

• Pediatrics Physician in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.