MR. SUN KUK KIM (NPI# 1356532238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356532238 |
Entity Type | Individual |
Full Name | MR. SUN KUK KIM |
Credential | PA-C |
Practice Address |
1 Munro Ave Cape May NJ 08204 |
Mailing Address |
611 Airport Dr Sitka AK 99835-9436 |
Practice Telephone | 6098986729 |
Practice Fax Number | 6098986962 |
Mailing Telephone | 9079665438 |
Enumeration Date | 2007-08-06 |
Last Update Date | 2018-07-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1123015 | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCCPA | 1123015 | 01 | |
NJ | STATE LICENSE | 25MP00362400 | 01 |
DEA LICENSE | FK5206342 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891234928 | Sun Kim | Pharmacist | 9112 Santiago Dr, Huntington Beach, CA 92646-6341 | 2017-02-22 |
1316394562 | Sun Kim | Dentist | 8524 Harvest Oak Dr, Vienna, VA 22182-5601 | 2016-05-18 |
1114398450 | Sun Kim | Student in an Organized Health Care Education/Training Program | 210 City Blvd W Apt 103, Orange, CA 92868-2928 | 2015-10-13 |
1508262817 | Sun Hye Kim | Nurse Practitioner | 1871 Martin Ave # 102, Santa Clara, CA 95050-2501 | 2014-11-13 |
1598923765 | Sun M Kim | Acupuncturist | 22636 Ocean Ave Apt 6, Torrance, CA 90505-3639 | 2008-05-23 |
1326189937 | Sun Y Kim | Dentist | 2262 Pacific Coast Hwy, Lomita, CA 90717-2532 | 2007-02-08 |
1801949912 | Sun Hui Kim | Pharmacist | 4881 La Palma Ave, La Palma, CA 90623-2019 | 2007-01-19 |
1093738932 | Sun Ik Kim | Urology | 489 E 21st St, San Bernardino, CA 92404-4816 | 2006-07-25 |
1124091764 | Sun Yong Kim | Nuclear Medicine | Department of The Army Wamc Stop A 2817 Reilly Road, Attn: Sun Yong Kim Mcxc-rad, Fort Bragg, NC 28310-7301 | 2006-02-13 |
1528605052 | Sun Hi Kim | Pharmacist | 4040 N Oracle Rd, Tucson, AZ 85705-2720 | 2019-12-03 |
Street Address |
1 MUNRO AVE |
City | CAPE MAY |
State | NJ |
Zip Code | 08204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790774685 | Kjersti Koskinen | Family Medicine | 1 Munro Ave, Hswl Fo, Cape May, NJ 08204-5000 | 2005-10-14 |
1083226203 | Angie Marie Manni | Registered Nurse | 1 Munro Ave, Cape May, NJ 08204-5000 | 2020-08-19 |
1902437429 | Sarah Elizabeth Schmid | Physician Assistant | 1 Munro Ave, Cape May, NJ 08204-5000 | 2020-02-03 |
1649733916 | Martin Newton IIi | Pharmacist | 1 Munro Ave, Cape May, NJ 08204-5000 | 2019-04-12 |
1013487040 | Juan C Robayo | Physician Assistant | 1 Munro Ave, Cape May, NJ 08204-5000 | 2018-12-03 |
1871098103 | Julia Anne Sieczkowski | Physician Assistant | 1 Munro Ave, Cape May, NJ 08204-5000 | 2018-03-28 |
1689180366 | Felicia Marie Amaral | Specialist/Technologist | 1 Munro Ave, Cape May, NJ 08204-5000 | 2017-12-18 |
1699137398 | Katie Fluharty | Physician Assistant | 1 Munro Ave, Cape May, NJ 08204-5000 | 2016-03-22 |
1861852543 | Michael Hogan | Registered Nurse | 1 Munro Ave, Cape May, NJ 08204-5000 | 2016-02-24 |
1922476761 | Maryann Piotrowski | Registered Nurse | 1 Munro Ave, Tracen Cape May, Cape May, NJ 08204-5000 | 2015-09-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811310964 | Lindsey T Delollis | Nurse Practitioner | 650 Townbank Road, North Cape May, NJ 08204 | 2014-01-27 |
1508106097 | Sherilyn M Neri | Specialist/Technologist | One Munroe Ave, Cape May, NJ 08204 | 2013-02-21 |
1417114778 | Mitchell A Hackerman | Physical Therapist | 650 Townbank Road; Suite 203, Professional Physical Therapy & Rehabilitation, P.C., N. Cape May, NJ 08204 | 2008-05-22 |
1679747729 | Stephanie Laverne Doyle | Family Medicine | 4011 Route 9 South, Suite 201, Rio Grande, NJ 08204 | 2008-04-19 |
1275669509 | Louis Jay Feldman | Dentist | 741 Washington Street, Cape May, NJ 08204 | 2007-02-23 |
1851432215 | Karen Elizabeth Vanorden | Social Worker | 1 Munro Avenue, Cape May Va Uscg Tracen, Cape May, NJ 08204 | 2007-02-09 |
1205972114 | Dorothy Thompson Mitchell | Marriage & Family Therapist | 3 Robin Lane, Cape May, NJ 08204 | 2007-01-29 |
1760579445 | Michael G Maroldo | Family Medicine | 650 Townbank Rd, N Cape May, NJ 08204 | 2006-10-06 |
1215937354 | Michael Stewart Stanley | Physician Assistant | Cape May Uscg Clinic, 1 Munro Ave, Cape May, NJ 08204 | 2005-07-29 |
1780710012 | Louis J Feldman Dds LLC | Dentist | 741 Washington Street, Cape May, NJ 08204 | 2007-02-23 |
Find all providers in zip 08204 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700862208 | Carol A Renninger | Physician Assistant | 1 Munro Dr, Samuel Call Health Services Center, Cape May, NJ 08204-5000 | 2005-12-16 |
1013487040 | Juan C Robayo | Physician Assistant | 1 Munro Ave, Cape May, NJ 08204-5000 | 2018-12-03 |
1306139878 | Jennifer Saunders | Physician Assistant | 900 Route 109, Cape May, NJ 08204-5259 | 2011-05-17 |
1699910026 | Sergio Felipe De Freitas | Physician Assistant | 1 Munro Ave, Cape May, NJ 08204-5000 | 2008-12-15 |
1396719688 | Harold Scott Jr. | Physician Assistant | 1 Munro Dr, Cape May, NJ 08204-5000 | 2006-02-14 |
1679559926 | Roger John Harris | Physician Assistant | 1 Munro Dr, Tracen Cape May-medical, Cape May, NJ 08204-5000 | 2005-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
1427660810 | Lauren Colacicco | Physician Assistant | 406 Nj-23 North, Franklin, NJ 07416 | 2020-08-18 |
1912525353 | Thy T Pham | Physician Assistant | 2 Capital Way Ste 407, Pennington, NJ 08534-2521 | 2020-07-13 |
1982226270 | Alexandra Bellisario | Physician Assistant | 7 Normandy Pl, Colts Neck, NJ 07722-1174 | 2020-05-11 |
1497394266 | Trevor Paul | Physician Assistant | 167 Us Highway 9 Ste 5, Englishtown, NJ 07726-9215 | 2019-12-27 |
1295371003 | Sujin Kim | Physician Assistant | 500 Grand Ave Ste 201, Englewood, NJ 07631-4968 | 2019-11-27 |
1811531767 | Kaceyanne Lynn Cerankowski | Physician Assistant | 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 | 2019-11-04 |
1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
1245871334 | Terrell Amanda Collins | Physician Assistant | 76 W Jimmie Leeds Rd Ste 201, Galloway, NJ 08205-9417 | 2019-10-01 |
1013561422 | Adrienne Lauren Rinaldi | Physician Assistant | 1400 State Highway 70, Relievus, Cherry Hill, NJ 08034-0000 | 2019-07-25 |
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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.