Active NPI
Sungmin Kim
- Physical Therapist
- Fort Lee, NJ
National Provider Identifier
1891268934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 044040
- Practice address
- 243A Whiteman St
Fort Lee, NJ 07024-5629 - Phone
- (909) 756-3131
- NPI assigned
- Jan 10, 2019
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | 044040 | NY | Primary |
Addresses
Primary practice location
243A Whiteman St
Fort Lee, NJ 07024-5629
Mailing address
243A Whiteman St
Fort Lee, NJ 07024-5629
Phone (909) 756-3131
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kim Youngrae Medical, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rheumatology Physician
- Buena Park, CA
- NPI 1275242083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1891268934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243A WHITEMAN ST",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070245629",
"telephone_number": "909-756-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243A WHITEMAN ST",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070245629",
"telephone_number": "909-756-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SUNGMIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-10",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "044040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.