Yeonju Kim

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

26NR25373100 Issued in NJ

Practice address

1 W Palisades Blvd Apt B22
Palisades Park, NJ 07650-2827

Phone

(201) 575-1369

NPI assigned

Sep 21, 2023

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

Other names 1

• Olivia Kim Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1992584775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W PALISADES BLVD APT B22",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502827",
            "telephone_number": "201-575-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W PALISADES BLVD APT B22",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502827",
            "telephone_number": "201-575-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YEONJU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR25373100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "KIM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Martin Sung Kim, OD
• Sean Kim, DC
• Seung Hee Kim
• Steven Kim, DMD
• Sungsik Kim, D.C.
• Yoonjoo Kim, M.D.
• Jill Marie Koerner, RPH
• Ashley Kwak
• Soochung Karen Kwak, D.M.D.
• Mun Hyuk Kwon, PIC

• Registered Nurse in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.