ANTHONY JUNGHOI KIM (NPI# 1790048254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790048254 |
| Entity Type | Individual |
| Full Name | ANTHONY JUNGHOI KIM |
| Credential | M.D. |
| Practice Address |
92 Summit Ave Hackensack NJ 07601-1263 |
| Practice Telephone | 2013420066 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2015-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0001X |
Internal Medicine Specialization: Clinical & Laboratory Immunology |
25MA09684900 | NJ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437554078 | Anthony Kim | Acupuncturist | 1791 E Holt Blvd Ste D, Ontario, CA 91761-2125 | 2014-10-24 |
| 1851485866 | Anthony H Kim | Optometrist | 3730 Carmia Dr Sw, Suite 310, Atlanta, GA 30331-6251 | 2006-10-03 |
| 1316963325 | Anthony Kim | Dentist | 8502 Kendra Ln, Corona, CA 92880-3783 | 2006-07-14 |
| 1154363109 | Anthony H Kim | Psychiatry & Neurology | 2155 State Route 22b, Morrisonville, NY 12962-3417 | 2006-06-12 |
| 1134504285 | Anthony Kim | Chiropractor | 1565 Saxon Blvd, Suite 103, Deltona, FL 32725-5876 | 2015-07-29 |
| 1356662316 | Anthony C Kim | Radiology | 61 E 77th St, New York, NY 10075-1817 | 2010-06-14 |
| 1295833762 | Anthony W Kim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1450 San Pablo St Ste 6200, Los Angeles, CA 90033-5331 | 2006-09-20 |
| 1801906813 | Anthony Sung Gil Kim | Dentist | 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 | 2006-08-30 |
| 1891718490 | Anthony C Kim | Internal Medicine | 60 Merrick Ave, East Meadow, NY 11554-1578 | 2006-07-25 |
| 1205890381 | Anthony Kim | Urology | 1579 Straits Tpke, Suite 2a, Middlebury, CT 06762-1835 | 2006-04-14 |
| Street Address |
92 SUMMIT AVE |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114027885 | North Jersey Internal Medicine PC | Internal Medicine | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2006-09-23 |
| 1093352510 | Eulalia Leon | Nurse Practitioner | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2019-12-03 |
| 1164074746 | Stephanie Y Kim | Nurse Practitioner | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2019-07-12 |
| 1760945299 | Linda Davt | Nurse Practitioner | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2019-04-11 |
| 1912466939 | Sofia Anna Skulsky | Nurse Practitioner | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2019-03-19 |
| 1508324575 | Krysten Wondrack | Nurse Practitioner | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2019-03-07 |
| 1083171177 | Vanessa Arias | Nurse Practitioner | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2019-02-25 |
| 1487105177 | Alison Barria | Nurse Practitioner | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2016-10-18 |
| 1609248756 | Heather Gentile Rdn LLC | Clinic/Center | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2015-10-28 |
| 1790157840 | Alyson Flaker, Rdn LLC | Clinic/Center | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2015-10-28 |
| 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 | 207RI0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical & Laboratory Immunology |
| An internal medicine physician who specializes in clinical and laboratory immunology disease management. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A certification was, but is no longer issued by the American Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790977056 | New Jersey Electrophysiology Associates LLC | Internal Medicine | 201 Lyons Ave, Newark, NJ 07112 | 2007-08-10 |
| City | HACKENSACK |
| Zip Code | 07601 |
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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.