NPIMap

Organization Active NPI

Martin Sung Kim, O.D., Inc.

  • Eyewear Supplier
  • Palisades Park, NJ
National Provider Identifier
1972796423
Registry record updated Aug 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
27OA00604800 Issued in NJ
Legal business name
MARTIN SUNG KIM, O.D., INC.
Practice address
333 Grand Ave
# 2J
Palisades Park, NJ 07650-1251
Phone
(201) 421-9319
NPI assigned
Aug 18, 2007
Last updated
Aug 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2007

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

Authorized official

Name
Dr. Martin Sung Kim, O.D.NPI 1801827795
Title
President
Phone
(201) 421-9319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 27OA00604800 NJ Primary

Addresses

Primary practice location

333 Grand Ave
# 2J
Palisades Park, NJ 07650-1251

Mailing address

333 Grand Ave
# 2J
Palisades Park, NJ 07650-1251

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187395200000",
    "number": "1972796423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE",
            "address_2": "# 2J",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE",
            "address_2": "# 2J",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501251",
            "telephone_number": "201-421-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN SUNG KIM, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-18",
        "last_updated": "2007-08-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "SUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-421-9319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NJ",
            "license": "27OA00604800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palisades Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2007; 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.