MINA JUNG KIM (NPI# 1568704054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568704054 |
| Entity Type | Individual |
| Full Name | MINA JUNG KIM |
| Credential | M.D. |
| Practice Address |
140 Park Ave Florham Park NJ 07932-1049 |
| Mailing Address |
622 W 168th St Ph5-133 New York NY 10032-3720 |
| Practice Telephone | 9734049700 |
| Practice Fax Number | 9086737336 |
| Mailing Telephone | (212) 305-3226 |
| Mailing Fax Number | 2123053204 |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2017-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 25MA10050300 | NJ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639331085 | Mina Kim | Pharmacist | 9506 Main St, Fairfax, VA 22031-4031 | 2008-06-26 |
| 1578754008 | Mina Kim | Dentist | 328 Bridge Plz N Apt 1h, Fort Lee, NJ 07024-5013 | 2007-08-08 |
| 1720613805 | Mina Kim | Specialist | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-03-09 |
| 1245879659 | Mina Mariela Kim | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-01-02 |
| 1043686272 | Mina Kim | Pharmacist | 15 N Buffalo Grove Rd, Buffalo Grove, IL 60089-1701 | 2015-08-11 |
| 1962768986 | Mina Kim | Counselor | 2535 Kettner Blvd, Suite 1a4, San Diego, CA 92101-1250 | 2012-04-03 |
| 1780975417 | Mina Soon Kim | Anesthesiology | 4755 Ogletown-stanton Road, Newark, DE 19718 | 2011-04-28 |
| 1669779237 | Mina C Kim | Dentist | 2 W 46th St, 501, New York, NY 10036-4811 | 2011-02-17 |
| 1093902777 | Mina Kim | Physical Therapist | 6300 Woodside Ct, Suite E, Columbia, MD 21046-1098 | 2007-09-26 |
| 1548398985 | Mina Kim | Optometrist | 189 Montague St, Brooklyn, NY 11201-3610 | 2007-02-28 |
| Street Address |
140 PARK AVE |
| City | FLORHAM PARK |
| State | NJ |
| Zip Code | 07932-1049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536222 | John Tyler Indrikovic | Physical Therapist | 140 Park Ave, Florham Park, NJ 07932-1049 | 2019-09-06 |
| 1194387944 | Summit Medical Group Pa | Clinic/Center | 140 Park Ave, Florham Park, NJ 07932-1049 | 2019-07-02 |
| 1962998427 | Will Stanaback | Physical Therapist | 140 Park Ave, Florham Park, NJ 07932-1049 | 2018-07-09 |
| 1730697921 | Yoonie Kim | Nurse Practitioner | 140 Park Ave, Florham Park, NJ 07932-1049 | 2018-01-22 |
| 1356868939 | Amy Dougan | Physical Therapist | 140 Park Ave, Florham Park, NJ 07932-1049 | 2017-08-24 |
| 1962958959 | Jennifer C. Sasso | Physical Therapist | 140 Park Ave, Florham Park, NJ 07932-1049 | 2016-08-30 |
| 1437513603 | Charles Becker | Family Medicine | 140 Park Ave, Florham Park, NJ 07932-1049 | 2016-04-13 |
| 1528434388 | Karan Pal | Physician Assistant | 140 Park Ave, Florham Park, NJ 07932-1049 | 2015-08-17 |
| 1477938348 | Jessica Moore | Physical Therapist | 140 Park Ave, Florham Park, NJ 07940 | 2015-07-21 |
| 1356722268 | Mary Carrillo | Registered Nurse | 140 Park Ave, Florham Park, NJ 07932-1049 | 2015-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487162 | Tender Care | Community/Behavioral Health | 2 Independence Way, Apt. 102, Florham Park, NJ 07932 | 2020-11-03 |
| 1780174524 | Ghada Cieri | Registered Nurse | 30 B Vreeland Road, Suite 200, Florham Park, NJ 07932 | 2018-05-17 |
| 1386192706 | Bai Li Medical Health Center | Point of Service | 171 Ridgedale Ave., Ste. 1f, Florham Park, NJ 07932 | 2016-09-14 |
| 1942756580 | Elizabeth Savino | Social Worker | 10 Hanover Road, Florham Park, NJ 07932 | 2016-09-01 |
| 1790182426 | John A Carollo Dmd Pa | Clinic/Center | 131 Columbia Turnpike, Suite 2a, Florham Park, NJ 07932 | 2014-11-24 |
| 1306265673 | Rachel Myra Fitz | Anesthesiology | 30b Vreeland Rd Ste 200, Florham Park, NJ 07932 | 2014-04-15 |
| 1922442615 | Allison Ann Sopko | Pediatrics | 195 Columbia Tpke Ste 105, Florham Park, NJ 07932 | 2013-04-24 |
| 1770869315 | Nexpc1 LLC | Internal Medicine | 128 Columbia Turnpike, Suite 101, Florham Park, NJ 07932 | 2011-10-27 |
| 1528356391 | Daniel Timothy Streeter | Physical Therapist | 30 Vreeland Rd., Building A Suite #110, Florham Park, NJ 07932 | 2011-07-14 |
| 1558672964 | Anna Marie Seavey | Dietitian, Registered | 83 Hanover Road, Suite 190, Florham Park, NJ 07932 | 2010-06-30 |
| Find all providers in zip 07932 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144720244 | Allied Anesthesia Associates | Anesthesiology | 123 Columbia Tpke Ste 102b, Florham Park, NJ 07932-2193 | 2018-02-15 |
| 1306265673 | Rachel Myra Fitz | Anesthesiology | 30b Vreeland Rd Ste 200, Florham Park, NJ 07932 | 2014-04-15 |
| 1205094372 | Joshua Goldstein | Anesthesiology | 25b Vreeland Rd Ste 110, Florham Park, NJ 07932-1900 | 2008-05-27 |
| 1679635783 | Nimesh Patel | Anesthesiology | 252 Columbia Tpke, Florham Park, NJ 07932-1237 | 2006-12-14 |
| 1386729697 | Kevin Klebba | Anesthesiology | 25b Vreeland Rd, Florham Park, NJ 07932-1900 | 2006-10-26 |
| 1518058973 | Clifton Colby Davis | Anesthesiology | 25b Vreeland Road, Ste 110, Florham Park, NJ 07932-1900 | 2006-09-28 |
| 1386654036 | American Anesthesiology of New Jersey, P.C. | Anesthesiology | 30b Vreeland Rd, Suite 200, Florham Park, NJ 07932-1926 | 2006-08-08 |
| 1215916606 | Tony George | Anesthesiology | 140 Park Ave Fl 4, Florham Park, NJ 07932-1049 | 2006-01-13 |
| 1871103705 | Excel Anesthesia | Anesthesiology | 123 Columbia Tpke Ste 102b, Florham Park, NJ 07932-2193 | 2020-08-05 |
| 1902040850 | Bijal R Parikh | Anesthesiology | 25b Vreeland Rd, Ste 110, Florham Park, NJ 07932-1900 | 2009-04-22 |
| Find all providers in FLORHAM PARK | ||||
| City | FLORHAM PARK |
| Zip Code | 07932 |
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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.