MINBAE KIM (NPI# 1588647614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588647614 |
| Entity Type | Individual |
| Full Name | MINBAE KIM |
| Credential | M.D. |
| Practice Address |
703 Main St Dept. of Pathology Paterson NJ 07503-2621 |
| Mailing Address |
Po Box 144333 Orlando FL 32814-4333 |
| Practice Telephone | 9737542000 |
| Practice Fax Number | 9737543649 |
| Mailing Telephone | 4074229831 |
| Mailing Fax Number | 4076482065 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2007-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
25MA04741200 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3839907 | 05 | |
| RAILROAD MEDICARE | 220031464 | 01 |
| Street Address |
703 MAIN ST DEPT. OF PATHOLOGY |
| City | PATERSON |
| State | NJ |
| Zip Code | 07503-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192269 | Subhashree Datta Bhutada | Pediatrics | 703 Main St, Paterson, NJ 07503-2621 | 2005-05-31 |
| 1629684048 | Michelle Szerling | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-21 |
| 1851905822 | Ijeoma Christiana Onyeagocha | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-07 |
| 1518571868 | Prathyusha Chennupati | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-03 |
| 1639782030 | Claudio Sam Santos | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-25 |
| 1720690688 | Sewar Hisham Abuarqob | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-20 |
| 1336750413 | Trixie Kioko-kamps | Midwife | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-12 |
| 1548870538 | Kristina Scott | Dietitian, Registered | 703 Main St, Paterson, NJ 07503-2621 | 2020-08-04 |
| 1972112530 | Devon Marie Cavazos | Social Worker | 703 Main St, Paterson, NJ 07503-2691 | 2020-07-29 |
| 1225656408 | Dinesh Parmar | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001426 | Kevin Vasquez | Student in an Organized Health Care Education/Training Program | St. Joseph's University Medical Hospital 703 Main St, Paterson, NJ 07503 | 2020-04-03 |
| 1689210346 | Denisa Stojakova | Internal Medicine | 37 Crooks Ave Ste 43, Paterson, NJ 07503 | 2019-11-18 |
| 1295206563 | Safa Travel LLC | Taxi | 205 Illinois Ave Fl 2, Paterson, NJ 07503 | 2018-12-16 |
| 1740780980 | Icp2 LLC | Pharmacy | 661main Street, Paterson, NJ 07503 | 2018-02-14 |
| 1194224329 | Reliable Laboratory | Clinical Medical Laboratory | 37 Crooks Avenue #43, Paterson, NJ 07503 | 2018-02-02 |
| 1487178703 | Field of Vision Services, LLC | Community/Behavioral Health | 235 Dakota St. Unit 1, Paterson, NJ 07503 | 2017-07-28 |
| 1982125043 | Saera Watanabe | Student in an Organized Health Care Education/Training Program | 703 Main Street, St. Joseph's Regional Medical Center, Department of Pediatrics, Paterson, NJ 07503 | 2017-06-29 |
| 1396266680 | Tulip Obgyn LLC | Obstetrics & Gynecology | 991 Main St Ste 2b, Paterson, NJ 07503 | 2017-06-28 |
| 1194251421 | Straight and Narrow, Inc | Substance Abuse Rehabilitation Facility | 410 Straight Street, Paterson, NJ 07503 | 2017-05-05 |
| 1083160956 | St. Josephs Regional Medical Center | Student in an Organized Health Care Education/Training Program | 400 Hospital Plaza, Paterson, NJ 07503 | 2016-08-30 |
| Find all providers in zip 07503 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699758052 | Ann Elizabeth Doniguian | Pathology | 703 Main St, Dept. of Pathology, Paterson, NJ 07503-2621 | 2005-11-21 |
| 1831172287 | North Jersey Pathology LLC | Pathology | 703 Main St, Dept. of Pathology, Paterson, NJ 07503-2621 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881107498 | James Mark Vangurp Jr. | Pathology | 25 Raymond Pl, Hawthorne, NJ 07506-1112 | 2017-11-06 |
| 1902218498 | Tianhua Guo | Pathology | 385 Ocean Blvd Apt 3g, Long Branch, NJ 07740-5736 | 2014-06-02 |
| 1164850335 | Qualdx, LLC | Pathology | 1305 Kings Hwy N Ste 2, Cherry Hill, NJ 08034-1919 | 2013-10-24 |
| 1528493574 | Noel Kowal | Pathology | 150 Bergen St Dept Of, Newark, NJ 07103-2496 | 2013-09-10 |
| 1447591656 | Manuel Halcon Moraleda | Pathology | 1 Buckingham Dr, Berlin, NJ 08009-9689 | 2013-03-13 |
| 1801132634 | Sunder H, Mansukhani | Pathology | 48 Old Mill Dr, Voorhees, NJ 08043-4781 | 2012-12-26 |
| 1992062103 | Nicole Saviano | Pathology | 19 Woodfield Ln, Saddle River, NJ 07458-3219 | 2012-04-12 |
| 1619240991 | John Earl Pickering | Pathology | 357 Breakneck Rd, Sewell, NJ 08080-4407 | 2012-02-16 |
| 1235401936 | Richard Bruce Maranoff | Pathology | 402 Chanticleer, Cherry Hill, NJ 08003-4830 | 2012-01-27 |
| 1467735290 | Reena Schaeffer | Pathology | 61 Kings Hwy W, Haddonfield, NJ 08033-2114 | 2011-09-28 |
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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.