Active NPI
Candice Kim
- Body Imaging Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- MT232552
- 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
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 |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLCJersey Shore Imaging LLCUniversity Radiology at Trinitas LLCUniversity Radiology-Atlantic, LLCFlemington Radiology Associates LLCUniversity Radiology at Cooper LLC
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
- Hunterdon Medical Center
- Robert Wood Johnson University Hospital
- Robert Wood Johnson University Hospital - Somerset
- Ocean Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT232552 | PA | MD | Body Imaging Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Radiology at Trinitas, LLC | Current | Accepting new patients | |
| University Radiology Group, LLC | Body Imaging | Current | Accepting new patients |
| Flemington Radiology Associates, LLC | Body Imaging | Current | Accepting new patients |
| University Radiology at Cooper, LLC | Current | Accepting new patients | |
| University Radiology-Atlantic, LLC | Current | Accepting new patients | |
| Jersey Shore Imaging, LLC | Current | 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.
-
- Diagnostic Radiology Physician
- Flemington, NJ
- NPI 1942816475
Body Imaging, NJ, PA
-
- Diagnostic Radiology Physician
- Cherry Hill, NJ
- NPI 1669056248
NJ, PA
-
- Diagnostic Radiology Physician
- East Brunswick, NJ
- NPI 1154367803
Body Imaging, NJ, PA
-
- Diagnostic Radiology Physician
- Tinton Falls, NJ
- NPI 1477802064
NJ, PA
-
- Diagnostic Radiology Physician
- Hillsborough, NJ
- NPI 1912357674
Body Imaging
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Somerville, NJ
- NPI 1003236878
Hospital
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.