SUJIN KIM (NPI# 1295371003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295371003 |
Entity Type | Individual |
Full Name | SUJIN KIM |
Credential | PA |
Practice Address |
500 Grand Ave Ste 201 Englewood NJ 07631-4968 |
Mailing Address |
4012 80th St Elmhurst NY 11373-1234 |
Practice Telephone | 7188869000 |
Mailing Telephone | 7188869000 |
Enumeration Date | 2019-11-27 |
Last Update Date | 2019-11-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
023881 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336596006 | Sujin Kim | Pharmacist | 305 Cooper Point Rd Nw, #103, Olympia, WA 98502-4436 | 2016-05-23 |
1770887408 | Sujin G Kim | Podiatrist | 1229 N North Branch St, Suite 308, Chicago, IL 60642-2473 | 2011-01-10 |
Street Address |
500 GRAND AVE STE 201 |
City | ENGLEWOOD |
State | NJ |
Zip Code | 07631-4968 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
Find all providers in zip 07631 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063841104 | Margaret I Gasienica | Physician Assistant | 499 E Hampden Ave Ste 220, Englewood, CO 80113-2792 | 2013-11-08 |
1023445657 | Vanessa M. Vonduerring | Physician Assistant | New Health Services, 3277 South Lincoln Street, Englewood, CO 80113-2512 | 2013-09-27 |
1063445419 | Lauren J Ramsay | Physician Assistant | 3501 S Corona St, Ste 4, Englewood, CO 80113-3907 | 2006-07-09 |
1063030211 | Brittany Morales | Physician Assistant | 401 S Van Brunt St, Englewood, NJ 07631-4604 | 2020-07-13 |
1730700394 | Allison Zurawski | Physician Assistant | 145 Inverness Dr E Ste 350, Englewood, CO 80112-5173 | 2020-05-05 |
1992355192 | Molly Burns | Physician Assistant | 799 E Hampden Ave Ste 500, Englewood, CO 80113-2777 | 2019-09-19 |
1427618172 | Rachel Rosmarie O'connor | Physician Assistant | 229 Engle St, Englewood, NJ 07631-2409 | 2019-06-15 |
1467903245 | Rebecca Lynn Brunson | Physician Assistant | 701 E Hampden Ave Ste 225, Englewood, CO 80113-2737 | 2016-10-17 |
1891154407 | Vanessa Regina Hill | Physician Assistant | 799 E Hampden Ave Ste 400, Englewood, CO 80113 | 2016-02-11 |
1568833713 | Carepoint Inpatient Blue Sky Neurology Pllc | Physician Assistant | 499 E Hampden Ave, Ste. 360, Englewood, CO 80113-2780 | 2015-10-14 |
Find all providers in ENGLEWOOD |
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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.