John Kim


Address: 158 Linwood Plz, Suite 324 5, Fort Lee, NJ 07024-3761

John Kim (NPI# 1659359263, PAC ID# 0143409086) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1659359263
PAC ID by PECOS 0143409086
Professional Enrollment ID I20110125000731
Full Name John Kim
Address 158 Linwood Plz
Suite 324 5
Fort Lee
NJ 07024-3761
Gender M
Graduation Year 1989
Primary Specialty INTERNAL MEDICINE
Secondary Specialties GERIATRIC MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310058 NEW BRIDGE MEDICAL CENTER

Other Locations

Address Phone Organization
158 Linwood Plz, Suite 324 5, Fort Lee, NJ 07024-3761
230 E Ridgewood Ave, Bergen Regional Medical Center, Paramus, NJ 07652-4142
230 E Ridgewood Ave, Paramus, NJ 07652-4142 2019674000 BERGEN COUNTY IMPROVEMENT AUTHORITY

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 158 LINWOOD PLZ
SUITE 324 5
City FORT LEE
State NJ
Zip 07024-3761

Physicians in the same location

Name Specialty Organization Address
Inhyon Park Chiropractic 158 Linwood Plz, Suite 219, Fort Lee, NJ 07024-3704
Jong Hyun Kim Physical Medicine and Rehabilitation 158 Linwood Plz, 208 10, Fort Lee, NJ 07024-3761
David Park Physical Therapy Equilibrium LLC 158 Linwood Plz, Suite 219, Fort Lee, NJ 07024-3704

Physicians in the same zip code

Name Specialty Organization Address
Stephanie C Mccarthy Nurse Practitioner Holy Name Primary Care and Specialty Associates PC 420 Deerwood Rd, Fort Lee, NJ 07024-1643
Ohan Karatoprak Family Medicine Holy Name Primary Care and Specialty Associates PC 420 Deerwood Rd, Fort Lee, NJ 07024-1643
N John Lombardi Psychologist, Clinical 1319 Anderson Ave, Suite C3, Fort Lee, NJ 07024-1734
Holly S Sandelands Physical Therapy Sports Medicine Center of Bergen Pa 1355 15th St, Fort Lee, NJ 07024-2039
Yesenia Flores-pinos Clinical Psychologist 1605 John St, Suite 205, Fort Lee, NJ 07024-2581
Irina Lenkovskiy Registered Dietitian Or Nutrition Professional 500 Catherine St, Apt 1, Fort Lee, NJ 07024-2595
Lorelle N Michelson Plastic and Reconstructive Surgery 1590 Anderson Ave, Office One, Fort Lee, NJ 07024-2711
Norman J Calihman Podiatry 1625 Anderson Ave, Fort Lee, NJ 07024-2748
Anca Popa Orthopedic Surgery 1625 Anderson Ave, Suite 203, Fort Lee, NJ 07024-2748
David W Lee Family Medicine 1625 Anderson Ave, Suite 204, Fort Lee, NJ 07024-2748
Find all physicians in zip 07024

Competitor

Search similar physicians

City FORT LEE
Zip Code 07024
Specialty INTERNAL MEDICINE
City + Specialty FORT LEE + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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