Organization Active NPI

Steven E Kim M D P a

  • Nephrology Physician
  • East Brunswick, NJ
National Provider Identifier
1881813301
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MA58125 Issued in NJ
Legal business name
STEVEN E KIM M D P A
Practice address
D5 Brier Hill CT
East Brunswick, NJ 08816-3335
Phone
(732) 432-7400
Fax
(732) 432-7401
NPI assigned
Apr 24, 2007
Last updated
Oct 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Steven E Kim, MDNPI 1457435646
Title
Owner
Phone
(732) 432-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X MA58125 NJ Primary

Addresses

Primary practice location

D5 Brier Hill CT
East Brunswick, NJ 08816-3335

Mailing address

D5 Brier Hill CT
East Brunswick, NJ 08816-3335
Phone (732) 432-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071023000649 NJ Part B Supplier - Clinic/Group Practice 5496841348 Receives reassigned benefits from 1 practitioner
Practice locations: East Brunswick, NJ; Somerset, NJ

National Provider Directory

National Provider Directory

Locations

D5 Brier Hill Ct
East Brunswick, NJ 08816
Phone (732) 423-7400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1881813301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "D5 BRIER HILL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163335",
            "telephone_number": "732-432-7400",
            "fax_number": "732-432-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D5 BRIER HILL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163335",
            "telephone_number": "732-432-7400",
            "fax_number": "732-432-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN E KIM M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-432-7400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA58125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.