DR. MIRYE KIM (NPI# 1982694626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982694626 |
| Entity Type | Individual |
| Full Name | DR. MIRYE KIM |
| Credential | MD |
| Practice Address |
101 Bowman Drive Chop Care Network At Virtua Voorhees Hospital Voorhees NJ 08043-1548 |
| Mailing Address |
100 E Penn Sq 9th Floor Philadelphia PA 19107-3323 |
| Practice Telephone | 2158293191 |
| Practice Fax Number | 2158297123 |
| Mailing Telephone | 2674259234 |
| Mailing Fax Number | 2674259299 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2013-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
25MA04699800 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3945502 | 05 |
| Street Address |
101 BOWMAN DRIVE CHOP CARE NETWORK AT VIRTUA VOORHEES HOSPITAL |
| City | VOORHEES |
| State | NJ |
| Zip Code | 08043-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186308 | Priya P Amin | Chiropractor | 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 | 2020-08-24 |
| 1184233207 | Creek Healthcare Services LLC | Community/Behavioral Health | 39 William Feather Drive, Voorhees Township, NJ 08043 | 2020-07-24 |
| 1689215345 | Julia Amariti | Dietitian, Registered | 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 | 2019-10-03 |
| 1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
| 1003386665 | Durand, Inc. | In Home Supportive Care | 107 Camden Avenue, Voorhees, NJ 08043 | 2018-11-27 |
| 1285103663 | Samaritan Healthcare & Hospice, Inc. | Hospice, Inpatient | 265 Route 73 South, Voorhees, NJ 08043 | 2018-11-15 |
| 1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
| 1346716107 | Ashlee Barton | Counselor | 1103 Sheppard Rd, Voorhees Township, NJ 08043 | 2018-10-19 |
| 1033691472 | Carolyn A Gribbin | Social Worker | 3033 5th Street, Voorhees, NJ 08043 | 2018-09-01 |
| 1164902193 | Paul Pierson | Physical Therapist | 1010 Haddonfield Berlin Rd Ste 401, Voorhees, NJ 08043 | 2018-08-20 |
| Find all providers in zip 08043 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1710404454 | Onsite Neonatal PC | Pediatrics | 1000 Haddonfield Berlin Road, Suite 210, Voorhees, NJ 08043-3520 | 2017-08-24 |
| 1518944149 | Daniel Blaise Bruzzini | Pediatrics | 1000 Haddonfield Berlin Rd Ste 210, Voorhees, NJ 08043 | 2005-12-24 |
| 1023008802 | Kerri Kansas | Pediatrics | 1020 Laurel Oak Rd, Suite 200, Voorhees, NJ 08043-3518 | 2005-10-24 |
| 1588149736 | Onsite Neonatal Indiana PC | Pediatrics | 1000 Haddonfield Berlin Rd Ste 210, Voorhees, NJ 08043-3520 | 2018-10-03 |
| 1902381734 | Onsite Neonatal Georgia PC | Pediatrics | 1000 Haddonfield Berlin Rd Ste 210, Voorhees, NJ 08043-3520 | 2018-09-27 |
| 1750866588 | Onsite Neonatal Illinois PC | Pediatrics | 1000 Haddonfield Berlin Rd Ste 210, Voorhees, NJ 08043-3520 | 2018-09-27 |
| 1558866814 | Onsite Neonatal Texas Pllc | Pediatrics | 1000 Haddonfield Berlin Rd Ste 210, Voorhees, NJ 08043-3520 | 2018-03-28 |
| 1669996088 | Onsite Neonatal Sc, P.C. | Pediatrics | 1000 Haddonfield Berlin Rd Ste 210, Voorhees, NJ 08043-3520 | 2017-07-27 |
| 1285051524 | St Chris Onsite Pediatric Partners LLC | Pediatrics | 1000 Haddonfield Berlin Rd, Suite 210, Voorhees, NJ 08043-3520 | 2014-03-25 |
| 1033435011 | Swati Aleti Johnson | Pediatrics | 1000 Haddonfield Berlin Rd, Suite 210, Voorhees, NJ 08043-3520 | 2010-04-15 |
| Find all providers in VOORHEES | ||||
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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.