Martin Sung Kim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

006044 Issued in NY

Practice address

121 Broad Ave
Palisades Park, NJ 07650-1441

Phone

(201) 346-1500

Fax

(201) 346-1549

NPI assigned

Jul 6, 2006

Sex

Male

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

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

64.34 of 100Reported as individual

Quality

15

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• My Optometry Group PC

  • Optometrist
  • Garfield, NJ
  • NPI 1861283624
  NPD Authorized official
• Martin Sung Kim, O.D., Inc.

  • Optometrist
  • Palisades Park, NJ
  • NPI 1851337703
  NPD (past) Authorized official
• MJ Optometry Group, PC

  • Optometrist
  • Palisades Park, NJ
  • NPI 1992046759
  NPD (past) Authorized official
• Azusa Optometry Group, Inc.

  • Optometrist
  • Hacienda Heights, CA
  • NPI 1073544896
  NPD (past) Authorized official
• Eye Care Studio Inc

  dba Brooklyn Eyeworks Optical

  • Optometrist
  • Brooklyn, NY
  • NPI 1922281518
  NPD (past) Authorized official
• Family Eye Clinic, Inc.

  • Optometrist
  • Palisades Park, NJ
  • NPI 1639301450
  NPD (past)
• Visiting Vision Services

  • Optometrist
  • Palisades Park, NJ
  • NPI 1699168526
  NPD (past)
• Macroscripts Inc

  dba MacroRx Pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1568852960
  NPD (past)
• Mobile Medical Eye Care, P.C.

  dba The I Doctor

  • Ophthalmology Physician
  • New York, NY
  • NPI 1033269592
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1801827795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 KNOX AVE",
            "address_2": "UNIT B",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102510",
            "telephone_number": "201-421-9319",
            "fax_number": "201-945-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BROAD AVE",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501441",
            "telephone_number": "201-346-1500",
            "fax_number": "201-346-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MARTIN",
        "middle_name": "SUNG",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006044",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00604800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02837805",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129011",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John J Kim, O.D.
• Jonathan Jaeyoung Kim, D.C.
• Julia E. Kim, O.D.
• Jung H Kim, DDS
• Justin Kim, MDPP COACH
• Sean Kim, DC
• Seung Hee Kim
• Steven Kim, DMD
• Sungsik Kim, D.C.
• Yeonju Kim

• Optometrist in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.