CHONG M. KIM (NPI# 1295750701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295750701 |
| Entity Type | Individual |
| Full Name | CHONG M. KIM |
| Credential | MD |
| Practice Address |
217 N Main St Ste 104 Cape May Court House NJ 08210 |
| Mailing Address |
Po Box 593 Cape May Court House NJ 08210-0593 |
| Practice Telephone | 6094631488 |
| Practice Fax Number | 6094634881 |
| Mailing Telephone | 6094632755 |
| Mailing Fax Number | 6094632757 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2018-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 25MA09395500 | NJ | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | MD426470 | PA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 207433 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NJ STATE LICENSE | 25MA09395500 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 234 E 149th St, Suite 2a7, Bronx, NY 104515504 | 9174097552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063997013 | Chong Koo Kim | Acupuncturist | 420 Highland Ave Apt 10, Palisades Park, NJ 07650-1384 | 2018-09-26 |
| 1699018150 | Chong Hyon Kim | Acupuncturist | 954 5th Ave, Los Angeles, CA 90019-2019 | 2013-04-03 |
| 1982941209 | Chong Yub Kim | Acupuncturist | 2772 Sepulveda Blvd, #28, Torrance, CA 90505-2952 | 2013-01-07 |
| 1073826574 | Chong B Kim | Pediatrics | 3585 Woodfield Pl, Columbus, IN 47203-1202 | 2010-07-26 |
| 1447575907 | Chong Bok Kim | Pharmacist | 778 Klondike Ave, Staten Island, NY 10314-4824 | 2010-03-28 |
| 1538188347 | Chong Sang Kim | Psychiatry & Neurology | 3010 W Orange Ave Ste 203, Anaheim, CA 92804-3171 | 2006-07-19 |
| 1528034485 | Chong Un Kim | Internal Medicine | 23430 Hawthorne Blvd Bldg 3, Suite 325, Torrance, CA 90505-4720 | 2006-02-28 |
| 1447711346 | Chong Yon Kim | Dentist | 935 Riverdale St, West Springfield, MA 01089-4656 | 2019-03-25 |
| 1417452715 | Chong Kim | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2018-03-28 |
| 1669895850 | Chong Kim | Pharmacist | 670 S Western Ave, Los Angeles, CA 90005-3024 | 2014-01-24 |
| Street Address |
217 N MAIN ST STE 104 |
| City | CAPE MAY COURT HOUSE |
| State | NJ |
| Zip Code | 08210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740224633 | William R Bradway | Internal Medicine | 217 N Main St Ste 104, Cape May Court House, NJ 08210-2165 | 2006-06-15 |
| 1689891574 | Tara Bouchard | Physician Assistant | 217 N Main St Ste 104, Cape May Court House, NJ 08210-2165 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932720208 | Steven M Stolar | Counselor | Court House Commons, 601 South Route 9, 2nd Floor, Cape May Court House, NJ 08210 | 2020-04-28 |
| 1285260885 | Ashley Elizabeth Gery | Case Manager/Care Coordinator | 1580 U.S. 9, Cape May Court House, NJ 08210 | 2020-03-16 |
| 1952940777 | Kate Lynn Mcginley | Counselor | 601 South Main Street, Court House Commons Executive Suite #6, Cape May Court House, NJ 08210 | 2019-12-26 |
| 1528625241 | Advocare, LLC | Pediatrics | 2041 Route 9 North, Clermont, NJ 08210 | 2019-05-29 |
| 1215492350 | Caitlin Marie Lehrfeld | Nurse Practitioner | 217 N Main St Ste 102, Cape May Court House, NJ 08210 | 2019-02-03 |
| 1932692811 | Summit Chiropractic & Wellness Center LLC | Chiropractor | 9 Broadway Unit A, Cape May Court House, NJ 08210 | 2018-06-14 |
| 1992212476 | Cvs Aoc Services, L.L.C. | Optometrist | 4 Magnolia Dr, Cape May Court House, NJ 08210 | 2018-01-05 |
| 1932612660 | Rothman Institute of New Jersey, P.a. | Prosthetic/Orthotic Supplier | 106 South Dennis Road, Building 200, Suite 200, Cape May Court House, NJ 08210 | 2017-11-16 |
| 1164951695 | Eternal Gratitude Counseling and Consultation | Counselor | 9 Steeple Court, Cape May Court House, NJ 08210 | 2017-06-08 |
| 1134660608 | Genesis Healthcare | Skilled Nursing Facility | 562 Rt 47 N, Cape May Court House, NJ 08210 | 2017-03-16 |
| Find all providers in zip 08210 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942854724 | Braga Urologic LLC | Urology | 106 Court House South Dennis Rd Ste 201, Cape May Court House, NJ 08210-2126 | 2019-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834532 | Advanced Urology Associates Enterprises | Urology | 525 Jack Martin Blvd Ste 304, Brick, NJ 08724-7737 | 2020-09-02 |
| 1922646132 | Pierre Mendoza Md LLC | Urology | 9 Mule Rd Ste 5, Toms River, NJ 08755-5052 | 2019-12-18 |
| 1215579297 | Jsmk Urology PC | Urology | 140 Sylvan Ave Ste 202, Englewood Cliffs, NJ 07632-2559 | 2019-10-11 |
| 1043863848 | Pedro R Paulino | Urology | 78 Highland St, Paterson, NJ 07524-1906 | 2019-07-20 |
| 1730683905 | Urgent Specialists Nj LLC | Urology | 185 Hudson St, Jersey City, NJ 07311-1209 | 2018-03-21 |
| 1861942393 | A E Feldman LLC | Urology | 125 Matthews Dr, Bedminster, NJ 07921-2624 | 2016-10-07 |
| 1033584057 | Howard Leitner & Perlmutter Urologic Associates | Urology | 2401 State Route 35, Manasquan, NJ 08736-1158 | 2015-12-02 |
| 1124499041 | Hunterdon Specialty Care, PC | Urology | 121 Highway 31, Suite 1200, Flemington, NJ 08822-5744 | 2015-10-19 |
| 1881089654 | Chirag G Gordhan | Urology | 2401 E Evesham Rd Ste F, Voorhees, NJ 08043-9590 | 2015-03-30 |
| 1578973392 | Boston Medical Group-new Jersey, P.a. | Urology | 1050 Wall Street West, Suite 120, Lyndhurst, NJ 07071 | 2014-05-01 |
| Find all providers with the same taxonomy | ||||
| City | CAPE MAY COURT HOUSE |
| Zip Code | 08210 |
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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.