BERNARD HAKSOO KIM (NPI# 1518166420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518166420 |
| Entity Type | Individual |
| Full Name | BERNARD HAKSOO KIM |
| Other Name | BERNARD HAKSOO KIM |
| Credential | MD |
| Practice Address |
20 Prospect Ave Suite 201 Hackensack NJ 07601-1997 |
| Practice Telephone | 2019964849 |
| Practice Fax Number | 5519965703 |
| Mailing Telephone | 2019964849 |
| Mailing Fax Number | 5519965703 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2016-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
248070 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
25MA07795000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02961053 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912113598 | Bernard Eugene Kim | Dentist | 2184 Saviers Rd, Oxnard, CA 93033-3825 | 2007-05-14 |
| 1184723231 | Bernard Sungwon Kim | Internal Medicine | 1245 Wilshire Blvd Ste 503, Los Angeles, CA 90017-4805 | 2006-09-22 |
| 1528074952 | Bernard C. Kim | Psychiatry & Neurology | 3636 Executive Center Dr Ste G70, Suite 212, Austin, TX 78731-1628 | 2006-07-31 |
| 1942727409 | Bernard Kim | Chiropractor | 1431 Warner Ave Ste D, Tustin, CA 92780-6444 | 2017-08-25 |
| 1316081755 | Bernard Matthew Kim | Internal Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2007-02-19 |
| 1730284415 | Bernard Kim | Optometrist | 17432 Se 270th Pl, Covington, WA 98042-4962 | 2006-09-14 |
| Street Address |
20 PROSPECT AVE SUITE 201 |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769317 | William K Boss | Specialist | 20 Prospect Ave, Ste 600, Hackensack, NJ 07601-1962 | 2005-06-09 |
| 1457992679 | Carmen Cecilia Peralta | Nurse Practitioner | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2019-09-30 |
| 1255988432 | Leila Ledesma-apolinario | Registered Nurse | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2019-08-21 |
| 1871061440 | Debbie Yiu | Nurse Practitioner | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2018-11-12 |
| 1942708128 | Maria Dei Tos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2018-01-23 |
| 1689115230 | Lauren Elyse Dipasquale | Audiologist | 20 Prospect Ave, Suite 808, Hackensack, NJ 07601-1997 | 2017-03-15 |
| 1609316579 | Dayra Soto | Nurse Practitioner | 20 Prospect Ave, Suite 516, Hackensack, NJ 07601 | 2017-02-27 |
| 1538605456 | Shoshanah Ruth Haricha | Nurse Practitioner | 20 Prospect Ave, Suite 715, Hackensack, NJ 07601-1997 | 2017-01-17 |
| 1710431101 | Brandon Howard Md LLC | Internal Medicine | 20 Prospect Ave, Suite 905, Hackensack, NJ 07601-1997 | 2016-08-15 |
| 1518410349 | Veronica Rossi | Nurse Practitioner | 20 Prospect Ave, Suite 800, Hackensack, NJ 07601-1997 | 2016-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 207RA0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Advanced Heart Failure and Transplant Cardiology |
| Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
| Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063062933 | Kristen Garofalo | Internal Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2019-09-12 |
| 1336311661 | Robert A Mohapatra | Internal Medicine | 1 Brace Rd, Suite C, Cherry Hill, NJ 08034-2600 | 2008-03-27 |
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on BERNARD HAKSOO KIM.
| 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.