DR. PHILLIP S KIM (NPI# 1538294236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538294236 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP S KIM |
| Credential | D.C. |
| Practice Address |
277 Prospect Ave Lg 1st Fl Hackensack NJ 07601-2570 |
| Mailing Address |
277 Prospect Ave Ste Lg 1st Fl Hackensack NJ 07601-2539 |
| Practice Telephone | 2019680303 |
| Mailing Telephone | 2019680303 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2016-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38MC00576300 | NJ | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427376672 | Phillip Jung-wan Kim | Chiropractor | 3434 W 6th St Ste 312, Los Angeles, CA 90020-2578 | 2010-05-12 |
| 1033365341 | Phillip J Kim | Family Medicine | 4770 W Herndon Ave Ste 105, Fresno, CA 93722-8401 | 2008-08-18 |
| 1649775313 | Phillip Kim | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2018-03-26 |
| 1194258301 | Phillip Kim | Student in an Organized Health Care Education/Training Program | 5501 Old York Rd, Philadelphia, PA 19141 | 2017-04-05 |
| 1336535202 | Phillip Kim | Student in an Organized Health Care Education/Training Program | 177 Ft Washingtn Ave # 7gs-313, New York, NY 10032-3733 | 2015-04-07 |
| 1962576264 | Phillip Kim | Hospitalist | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-20 |
| Street Address |
277 PROSPECT AVE LG 1ST FL |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-2570 |
| 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 | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184239410 | Keith Alan Eisenberger | Chiropractor | 61 Hudson St, Hackensack, NJ 07601-6943 | 2020-09-14 |
| 1588206122 | Get Back LLC | Chiropractor | 326 Prospect Ave Apt 3j, Hackensack, NJ 07601-2615 | 2019-10-15 |
| 1023524220 | Integrated Wholistic Medicine, LLC | Chiropractor | 125 Prospect Ave Ste 1, Hackensack, NJ 07601-2208 | 2017-12-26 |
| 1245689207 | Elite Wellness & Sports Medicine Center | Chiropractor | 15 Emerald St Ste F1, Hackensack, NJ 07601-6116 | 2016-06-09 |
| 1396182929 | Mina Eun Cavallaro | Chiropractor | 277 Prospect Ave Ste Lg, Hackensack, NJ 07601-2539 | 2013-05-22 |
| 1568748705 | Spinal Care of Hackensack, P.C. | Chiropractor | 60 Court St Ste 6, Hackensack, NJ 07601-7041 | 2011-11-02 |
| 1306137807 | Christine Yanire Rivera | Chiropractor | 326 Prospect Ave, Apt 3j, Hackensack, NJ 07601-2615 | 2011-05-02 |
| 1366762114 | Briana Joy Clauss | Chiropractor | 301 Beech St Apt 2h, Hackensack, NJ 07601-2137 | 2010-06-03 |
| 1073660999 | George Emanuel Logothetis | Chiropractor | 68 Summit Ave, Hackensack, NJ 07601-1263 | 2007-01-04 |
| 1942373436 | Andrew S Perrone | Chiropractor | 6 Spring Valley Ave, Hackensack, NJ 07601-3801 | 2006-11-15 |
| Find all providers in HACKENSACK | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on DR. PHILLIP S 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.