DR. CHANG NAM KIM (NPI# 1063516458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063516458 |
| Entity Type | Individual |
| Full Name | DR. CHANG NAM KIM |
| Credential | M.D. |
| Practice Address |
1200 Us Highway 46 Clifton NJ 07013-2440 |
| Practice Telephone | 9737739228 |
| Practice Fax Number | 9737733029 |
| Mailing Telephone | 9737739228 |
| Mailing Fax Number | 9737733029 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2018-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25MA03826200 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2496305 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780036475 | Chang Kim | Dentist | 1971 Mcculloch Blvd N Ste 100, Lake Havasu City, AZ 86403-6118 | 2016-07-06 |
| 1285019059 | Chang Kim | Chiropractor | 2576 Royal Ln, Dallas, TX 75229-3417 | 2015-07-22 |
| 1902242258 | Chang Sung Kim | Chiropractor | 2391 Bell Blvd Ste 205, Bayside, NY 11360-2019 | 2013-05-14 |
| 1528373511 | Chang H. Kim | Acupuncturist | 9401 Mathy Dr Ste 100, Fairfax, VA 22031 | 2010-08-13 |
| 1568641199 | Chang K Kim | Acupuncturist | 326 Reservation Rd, Suite E, Marina, CA 93933-3257 | 2007-10-31 |
| 1104883768 | Chang Kwon Kim | Surgery | 0n300 Armstrong Ln, Geneva, IL 60134-6081 | 2006-04-27 |
| 1477971430 | Chang Hoon Kim | Internal Medicine | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2014-04-06 |
| 1447375340 | Chang W Kim | Psychiatry & Neurology | 1500 Waters Pl, Bronx, NY 10461-2723 | 2007-03-20 |
| 1942339676 | Chang Choo Kim | Counselor | 35425 W Michigan Ave, Wayne, MI 48184-1687 | 2007-03-06 |
| 1720152507 | Chang O. Kim | Orthopaedic Surgery | 80 Grand Ave, 5th Floor, Oakland, CA 94612-3725 | 2006-11-20 |
| Street Address |
1200 US HIGHWAY 46 |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07013-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028763 | Chedva Grossman | Behavioral Analyst | 1115 Clifton Avenue, Suite 202, Clifton, NJ 07013 | 2020-03-23 |
| 1518519578 | Marybel Hernandez | Social Worker | 730 Board St. Second Floor, Second Floor, Clifton, NJ 07013 | 2019-07-10 |
| 1427516152 | Maya Kron Wellness | Acupuncturist | 1425 Broad Street Suite 4, Clifton, NJ 07013 | 2019-03-12 |
| 1598251076 | Eileen Madden | Counselor | 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 | 2018-07-08 |
| 1215444591 | Wilber Espinosa | Nurse Practitioner | 1700 Nj-3, Clifton, NJ 07013 | 2018-01-08 |
| 1093222424 | Clifton Mri | Radiology | 750 Clifton Ave, Clifton, NJ 07013 | 2018-01-08 |
| 1912425745 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 115, Clifton, NJ 07013 | 2017-08-31 |
| 1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
| 1659815710 | Patrick Dispoto | Registered Nurse | 1005 Clifton Ave # 2, Clifton, NJ 07013 | 2016-12-08 |
| 1033568829 | Community Options Enterprises, Inc. | Day Training, Developmentally Disabled Services | 24-36 Fornelius Avenue, Clifton, NJ 07013 | 2016-06-13 |
| Find all providers in zip 07013 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060580 | Neuropsychiatric Consultants PC | Psychiatry & Neurology | 489 Clifton Ave, Clifton, NJ 07011-3227 | 2020-10-12 |
| 1295998532 | Michael Krysko | Psychiatry & Neurology | 140 Hepburn Rd, 11f, Clifton, NJ 07012-2231 | 2008-07-08 |
| 1174532022 | Isidore Michael Keiman | Psychiatry & Neurology | 469 Clifton Avenue, Clifton, NJ 07011 | 2006-08-07 |
| 1437115581 | Clifton Psychiatry LLC | Psychiatry & Neurology | 469 Clifton Ave, Clifton, NJ 07011-3227 | 2006-04-25 |
| 1275532871 | Curt P Pinchuck | Psychiatry & Neurology | 50 Mount Prospect Ave, Clifton, NJ 07013-1900 | 2005-07-18 |
| 1285049205 | Transcendence Psychiatry and Medicine, LLC. | Psychiatry & Neurology | 1414 Main Ave, Clifton, NJ 07011-2157 | 2014-06-28 |
| 1972871366 | Paul P Cusano Md Pa | Psychiatry & Neurology | 925 Clifton Ave, Suite 103, Clifton, NJ 07013-2724 | 2011-12-13 |
| 1598920019 | Yelena Khaysman | Psychiatry & Neurology | 140 Hepburn Rd, #11f, Clifton, NJ 07012-2231 | 2008-07-24 |
| 1740328814 | Chashmal Institute North Jersey Neurofeedback, PC | Psychiatry & Neurology | 50 Mount Prospect Ave, Clifton, NJ 07013-1900 | 2007-02-02 |
| 1689728040 | Dilip Amrytlal Shah | Psychiatry & Neurology | 721 Clifton Avenue, Suite 2c, Clifton, NJ 07013 | 2007-01-23 |
| Find all providers in CLIFTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.