DR. SAM KWANG KIM (NPI# 1558307579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558307579 |
| Entity Type | Individual |
| Full Name | DR. SAM KWANG KIM |
| Credential | M.D. |
| Practice Address |
228 Roseberry St Suite # 3 Phillipsburg NJ 08865-1687 |
| Practice Telephone | 9084544545 |
| Practice Fax Number | 9084543227 |
| Mailing Telephone | 9084544545 |
| Mailing Fax Number | 9084543227 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD019259Y | PA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 25MA02776000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0392405 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376186080 | Sam Eunwoo Kim | Physical Therapist | 1429 N 15th St Apt 2f, Philadelphia, PA 19121-4354 | 2019-10-25 |
| 1821264284 | Sam Kim | Acupuncturist | 6290 Abbotts Bridge Rd Ste 203, Johns Creek, GA 30097-1750 | 2008-05-06 |
| 1194917435 | Sam Yong Kim | Acupuncturist | 4269 W 3rd St, Los Angeles, CA 90020-3448 | 2007-08-10 |
| 1114122645 | Sam Yong Kim | Military Health Care Provider | Box 555697, Camp Pendleton, CA 92055 | 2007-06-15 |
| 1528348695 | Sam Dk Kim | Dentist | 1412 Sw 43rd St, Idc Medical Plaza, #109, Renton, WA 98057-4803 | 2011-08-22 |
| 1134364086 | Sam Kim | Occupational Therapist | 6901 N 72nd St, Omaha, NE 68122-1709 | 2008-12-06 |
| 1184776569 | Sam K. Kim | Radiology | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2007-01-17 |
| 1932256559 | Sam Kim | Chiropractor | 620 Alabama St, Redlands, CA 92373-8059 | 2007-01-04 |
| 1851454615 | Sam Y Kim | Otolaryngology | 1919 Lathrop St, Ste 103, Fairbanks, AK 99701-5937 | 2006-12-19 |
| 1073540621 | Sam Y.h. Kim | Dentist | 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 | 2006-06-27 |
| Street Address |
228 ROSEBERRY ST SUITE # 3 |
| City | PHILLIPSBURG |
| State | NJ |
| Zip Code | 08865-1687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748920 | Maria S Hannis | Pharmacist | 1300 Route 22, Phillipsburg, NJ 08865 | 2020-10-23 |
| 1720586886 | Mariana Cristina De Martinez | Counselor | 865 Us Hwy 22 E, Phillipsburg, NJ 08865 | 2018-01-24 |
| 1205353448 | Unity for Developmental Disabilities | Case Management | 212 Summit Ave., Phillipsburg, NJ 08865 | 2017-08-28 |
| 1962954602 | Britt Deluca | Counselor | 865 Us Hwy 22, Phillipsburg, NJ 08865 | 2016-10-28 |
| 1235593302 | Angela Nicolosi | Counselor | 114 South 2nd Street, Phillipsburg, NJ 08865 | 2016-04-05 |
| 1952764698 | Future Project | Day Training, Developmentally Disabled Services | 469 South Main St, Phillipsburg, NJ 08865 | 2016-03-31 |
| 1336485333 | Weiss, Humanick Support Services, LLC | Supports Brokerage | 201 Strykers Crossing, Suite 19-187, Lapatacong, NJ 08865 | 2012-12-19 |
| 1831466119 | Laura A Skrzenski | Pharmacist | 1596 Third Ave, Alpha, NJ 08865 | 2011-11-30 |
| 1841571403 | Darlyn Benemerito Bawasanta | Occupational Therapist | 290 Red School Lane, Brakeley Park Center, Lopatcong, NJ 08865 | 2011-09-08 |
| 1720369614 | Erica B Gracia-cedeno | Counselor | 865 Us Highway 22, Phillipsburg, NJ 08865 | 2011-09-06 |
| Find all providers in zip 08865 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386830057 | New Beginnings Pediatrics LLC | Pediatrics | 755 Memorial Pkwy, Suite 115, Phillipsburg, NJ 08865-2748 | 2007-09-17 |
| 1669432472 | Charles Evans IIi | Pediatrics | 755 Memorial Pkwy, Suite 115, Phillipsburg, NJ 08865-2748 | 2006-03-24 |
| 1215997036 | Victor R Rodriguez | Pediatrics | 755 Memorial Pkwy, Suite 115, Phillipsburg, NJ 08865-2748 | 2006-03-24 |
| 1427017953 | Armi T Sion | Pediatrics | 755 Memorial Pkwy, Suite 115, Phillipsburg, NJ 08865-2748 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332831 | Alafia Medical Associates LLC | Pediatrics | 88 High St, Montclair, NJ 07042-2415 | 2020-10-07 |
| 1205443611 | Advocare, LLC | Pediatrics | 225 Highway 35 Ste 102, Red Bank, NJ 07701-5919 | 2020-09-29 |
| 1205440401 | Panda Pediatrics LLC | Pediatrics | 2 Hart Ct, Titusville, NJ 08560-1519 | 2020-09-04 |
| 1346853546 | Nkpeds PC | Pediatrics | 126 Madison Ave, Hasbrouck Heights, NJ 07604-1309 | 2020-08-26 |
| 1619580107 | Anzule Navarrete | Pediatrics | 3196 John F Kennedy Blvd, Union City, NJ 07087 | 2020-08-25 |
| 1992316715 | Advocare, LLC | Pediatrics | 241 Molnar Dr Ste 202, Elmwood Park, NJ 07407-3200 | 2020-08-14 |
| 1841808516 | Brianna Ayala | Pediatrics | 402 Lakewood Rd, New Egypt, NJ 08533-2113 | 2020-07-20 |
| 1306465349 | Little Big Pediatrics | Pediatrics | 521 Van Houten Ave Ste 1a, Clifton, NJ 07013-2190 | 2020-04-09 |
| 1154954139 | Advocare, LLC | Pediatrics | 6611 Winchester Ave, Ventnor City, NJ 08406-2159 | 2020-02-18 |
| 1033742051 | Advocare, LLC | Pediatrics | 135 Jackson Rd Ste B, Medford, NJ 08055-9231 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
| City | PHILLIPSBURG |
| Zip Code | 08865 |
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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.