Mr Sung-dong Kim, DC LAC CA is a medicare enrolled "Acupuncturist" provider in Englewood Cliffs, New Jersey. He went to Los Angeles College Of Chiropractic and graduated in 2000 and has 24 years of diverse experience with area of expertise as Chiropractic. His current practice location is
111 Charlotte Pl, #101, Englewood Cliffs, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 227-8636.
Mr Sung-dong Kim is licensed to practice in New York (license number 002988-1) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962579045.
Healthcare Provider's Profile
| Full Name | Mr Sung-dong Kim |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 24 Years |
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| Location | 111 Charlotte Pl, Englewood Cliffs, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Sung-dong Kim attended and graduated from Los Angeles College Of Chiropractic in 2000
NPI Data:
- NPI Number: 1962579045
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2466489752
- Enrollment ID: I20050720000704
Medical Identifiers
Medical identifiers for Mr Sung-dong Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962579045 | NPI | - | NPPES |
| 1036944 | Other | NJ | ASH CHIROPRACTIC |
| 673435 | Other | NJ | ACN |
| 9388280 | Other | NJ | PHCS |
| 1065217 | Other | NJ | ASH ACUPUNCTURE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 38MC00568000 (New Jersey) | Primary |
| 111N00000X | Chiropractor | X98111 (New York) | Primary |
| 171100000X | Acupuncturist | 25MZ00042300 (New Jersey) | Primary |
| 171100000X | Acupuncturist | 002988-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Sung-dong Kim is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Sung-dong Kim, DC LAC CA
111 Charlotte Pl, #101,
Englewood Cliffs, NJ 07632
Ph: (201) 227-8636 | Mr Sung-dong Kim, DC LAC CA
111 Charlotte Pl, #101,
Englewood Cliffs, NJ 07632
Ph: (201) 227-8636 |
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