Jeong Hee Kim, is a
Registered Nurse based in Maple Shade, New Jersey. Jeong Hee Kim is licensed to practice in New Jersey (license number 26NR15414000) and her current practice location is
314 Elm Ave, Maple Shade, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(610) 203-4078.
NPI number for Jeong Hee Kim is 1144100512 and her current mailing address is 314 Elm Ave, Maple Shade, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144100512.
Provider's Profile
| Full Name | Jeong Hee Kim |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 314 Elm Ave, Maple Shade, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1144100512
- Provider Enumeration Date: 09/05/2025
- Last Update Date: 09/05/2025
Medical Identifiers
Medical identifiers for Jeong Hee Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144100512 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 26NR15414000 (New Jersey) | 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. Jeong Hee Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jeong Hee Kim,
314 Elm Ave,
Maple Shade, NJ 08052-2722
Ph: (610) 203-4078 | Jeong Hee Kim,
314 Elm Ave,
Maple Shade, NJ 08052-2722
Ph: (610) 203-4078 |
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