DR. JINNA KIM (NPI# 1972853257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972853257 |
| Entity Type | Individual |
| Full Name | DR. JINNA KIM |
| Credential | OD |
| Practice Address |
121 Broad Ave Palisades Park NJ 07650-1441 |
| Practice Telephone | 2013461500 |
| Mailing Telephone | 2013461500 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2013-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 27OA00643100 | NJ | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487764866 | Jinna Kim | Family Medicine | 9245 Rainier Ave S, Seattle, WA 98118-5569 | 2006-08-30 |
| Street Address |
121 BROAD AVE |
| City | PALISADES PARK |
| State | NJ |
| Zip Code | 07650-1441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851337703 | Martin Sung Kim, O.d., Inc. | Optometrist | 121 Broad Ave, Palisades Park, NJ 07650-1441 | 2006-06-21 |
| 1639301450 | Family Eye Clinic, Inc. | Optometrist | 121 Broad Ave, Palisades Park, NJ 07650-1441 | 2009-08-12 |
| 1801827795 | Martin Sung Kim | Optometrist | 121 Broad Ave, Palisades Park, NJ 07650-1441 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356902134 | Balance Dizziness Center Inc. | Psychiatry & Neurology | 17 Brinkerhoff Terrace, Palisades Park, NJ 07650 | 2019-06-24 |
| 1437631371 | Catherine Jang | Pharmacist | 113 Roosevelt Pl, Palisades Park, NJ 07650 | 2018-09-06 |
| 1063911782 | Jinwoo Kim | Acupuncturist | 58w Oakdene Ave, Unit A, Palisades Park, NJ 07650 | 2018-02-08 |
| 1275053563 | Prime Painmanagement PC | Physical Medicine & Rehabilitation | 118-126 Broad Avenue, Unit 11, Palisades Park, NJ 07650 | 2017-06-27 |
| 1366836520 | George Xenakis, Dds, Palisades Park, LLC | Clinic/Center | 261a Broad Ave, Palisades Park, NJ 07650 | 2015-03-26 |
| 1245637842 | Sun Young Lee | Nurse Practitioner | 11 West Harriet Ave, Apt 102, Palisades Park, NJ 07650 | 2014-11-25 |
| 1063824290 | Daehwan Ji | Acupuncturist | 460 Bergen Blvd Suite #304, Palisades Park, NJ 07650 | 2014-05-22 |
| 1295084739 | Minhyun Cho | Counselor | 19 E Central Blvd, Palisades Park, NJ 07650 | 2012-08-30 |
| 1255693164 | Juliana A Vasquez | Specialist | 446 7th Street, Palisades Park, NJ 07650 | 2012-06-15 |
| 1295019529 | Now Pain Clinc PC | Residential Treatment Facility, Physical Disabilities | 21 Grand Ave #502, Palisades Park, NJ 07650 | 2011-10-05 |
| Find all providers in zip 07650 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992046759 | Mj Optometry Group, PC | Optometrist | 571 Windsor Dr, Palisades Park, NJ 07650-2363 | 2013-03-04 |
| 1558524462 | Julia E. Kim | Optometrist | 171 Roosevelt Place, Ground Floor, Palisades Park, NJ 07650 | 2008-07-10 |
| 1972603637 | Taewha Carolyn Moon | Optometrist | 225 Broad Ave Ste 206, Palisades Park, NJ 07650-1590 | 2006-09-23 |
| 1891727525 | Alfonso C. Bullock II | Optometrist | 261a Broad Ave., Palisades Park, NJ 07650 | 2006-07-06 |
| 1851337703 | Martin Sung Kim, O.d., Inc. | Optometrist | 121 Broad Ave, Palisades Park, NJ 07650-1441 | 2006-06-21 |
| 1699168526 | Visiting Vision Services | Optometrist | 571 Windsor Dr, Palisades Park, NJ 07650-2363 | 2015-03-17 |
| 1972815090 | Hanna Haejo Han | Optometrist | 540 Bergen Blvd, Palisades Park, NJ 07650-2322 | 2010-07-06 |
| 1831415389 | Robin Semegran, Od, PC | Optometrist | 71 Grand Ave, Palisades Park, NJ 07650-1054 | 2010-04-08 |
| 1639301450 | Family Eye Clinic, Inc. | Optometrist | 121 Broad Ave, Palisades Park, NJ 07650-1441 | 2009-08-12 |
| 1043476633 | Seung-hee Choi | Optometrist | 540 Bergen Blvd, Palisades Park, NJ 07650-2322 | 2008-08-03 |
| Find all providers in PALISADES PARK | ||||
| City | PALISADES PARK |
| Zip Code | 07650 |
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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.