Woon-Ok Kim, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

SP008773 Issued in PA

Practice address

5457 Wayne Ave
New Courtland Life and Adult Day Program
Philadelphia, PA 19144-3433

Phone

(263) 335-1500

Fax

(267) 286-8250

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1932257086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5457 WAYNE AVE",
            "address_2": "NEW COURTLAND LIFE AND ADULT DAY PROGRAM",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443433",
            "telephone_number": "267-335-1500",
            "fax_number": "267-286-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 WAYNE AVE",
            "address_2": "NEW COURTLAND LIFE AND ADULT DAY PROGRAM",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443433",
            "telephone_number": "263-335-1500",
            "fax_number": "267-286-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "WOON-OK",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP008773",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00164900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taewan John Kim, DDS
• Victor Kim, MD
• William Kim
• Won Myung Kim, M.D.
• Won Seok Kim, DC
• Yeji Kim
• Yejin Kim, MD
• Yeon Jun Kim, DMD
• Yohan Kim
• Yongkyum Kim, MD

• Gerontology Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Gerontology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.