Individual provider Active NPI

Candice Kim

  • Body Imaging Physician
  • Philadelphia, PA
National Provider Identifier
1962067900
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
MT232552 Issued in PA
Practice address
1338 Chestnut St Apt 903
Philadelphia, PA 19107-4509
Phone
(206) 650-3109
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X MT232552 PA Primary

Addresses

Primary practice location

1338 Chestnut St Apt 903
Philadelphia, PA 19107-4509

Mailing address

1338 Chestnut St Apt 903
Philadelphia, PA 19107-4509
Phone (206) 650-3109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250909003098 NJ Practitioner - Diagnostic Radiology 3476888330 Reassigns benefits to 7 organizations
I20250910000057 PA Practitioner - Diagnostic Radiology 3476888330 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Virginia Commonwealth University, School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians
Jersey Shore Imaging LLCGroup PAC ID 1355408212, 148 clinicians
University Radiology at Trinitas LLCGroup PAC ID 9133174634, 126 clinicians
University Radiology-Atlantic, LLCGroup PAC ID 6901059864, 144 clinicians
Flemington Radiology Associates LLCGroup PAC ID 5294145819, 68 clinicians
University Radiology at Cooper LLCGroup PAC ID 4587053699, 78 clinicians

Practice addresses (Care Compare)

1043 W Main St
Freehold, NJ 07728-2538
Phone (732) 462-1900

130 Pine Tree Rd
Wayne, PA 19087-3744
Phone (732) 390-0040

1338 Chestnut St
Philadelphia, PA 19107-4559
Phone (732) 390-0040

1338 Chestnut St
Apt 903
Philadelphia, PA 19107-4509
Phone 73239000402022

2 Providence CT
Newtown, PA 18940-9796
Phone (732) 390-0040

2100 Corlies Ave
Neptune, NJ 07753-6102
Phone (732) 988-1234

2100 Wescott Dr
Flemington, NJ 08822-4603
Phone (732) 390-0040

2339 Route 70 W
Cherry Hill, NJ 08002-3315
Phone (732) 390-0040

415 Morris Ave
Elizabeth, NJ 07208-3612
Phone (908) 351-7600

416 Spring Garden St
Apt 502
Philadelphia, PA 19123-4600
Phone (732) 390-0040

48 N Gilbert St
Tinton Falls, NJ 07701-4905
Phone (732) 530-5750

483 Cranbury Rd
East Brunswick, NJ 08816-3610
Phone 73239000402022

527 Catharine St
Philadelphia, PA 19147-3033
Phone (732) 390-0040

579 A Cranbury Rd
East Brunswick, NJ 08816-5405

579 A Cranbury Rd
East Brunswick, NJ 08816-5426

Hospital & facility affiliations

  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Hunterdon Medical Center Hospital, Flemington, NJ, CCN 310005
  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
  • Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT232552PAMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Radiology at Trinitas, LLC CurrentSince Aug 1, 2025 Accepting new patients
University Radiology Group, LLC Body Imaging CurrentSince Aug 1, 2025 Accepting new patients
Flemington Radiology Associates, LLC Body Imaging CurrentSince Aug 1, 2025 Accepting new patients
University Radiology at Cooper, LLC CurrentSince Aug 1, 2025 Accepting new patients
University Radiology-Atlantic, LLC CurrentSince Aug 1, 2025 Accepting new patients
Jersey Shore Imaging, LLC CurrentSince Aug 1, 2025 Accepting new patients
Hillsborough Radiology Centers, LLC Body Imaging Current Accepting new patients

Locations

2339 Route 70 W
Cherry Hill, NJ 08002
Phone (856) 406-4080

483 Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

415 Morris Ave
Elizabeth, NJ 07208
Phone (908) 351-7600

121 State Route 31
Ste 1100
Flemington, NJ 08822
Phone (908) 782-4700

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

1043 W Main St
Freehold, NJ 07728
Phone (732) 462-1900

111 Union Valley Rd
Monroe Twp, NJ 08831
Phone (609) 395-3470

400 W Route 38
Ste 2300
Moorestown, NJ 08057

3822 River Rd
Point Pleasant Boro, NJ 08742
Phone (732) 701-4848

75 Veronica Ave
Somerset, NJ 08873
Phone (732) 246-0060

48 N Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-5750

1338 Chestnut St
Philadelphia, PA 19107
Phone (833) 325-6379

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751068800000",
    "number": "1962067900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 CHESTNUT ST APT 903",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074509",
            "telephone_number": "206-650-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 CHESTNUT ST APT 903",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074509",
            "telephone_number": "206-650-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CANDICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PA",
            "license": "MT232552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.