Min-Min Li-Ah-Kim, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00792400 Issued in NJ

Practice address

1575 Route 517
Hackettstown, NJ 07840-2708

Phone

(908) 852-0107

Fax

(908) 850-9160

NPI assigned

Jan 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1922516871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 ROUTE 517",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402708",
            "telephone_number": "908-852-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 ROUTE 517",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402708",
            "telephone_number": "908-852-0107",
            "fax_number": "908-850-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI-AH-KIM",
        "first_name": "MIN-MIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00792400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard a Feitell MD LLC
• Leong Hean Tan MD PA
• Tanya Leonhardt
• Antonios Elias Leontaris, PA
• Mary-Michael Levitt, ED.S, LMFT, LPC
• Jonathan Adam Liegner, DMD
• Bryan Linares
• Casimiera Liobe, APN
• Paul M. Littman, D.O.
• Live Fully Now Rehab and Wellness

• Family Nurse Practitioner in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.