| Christian Kim Md, Pc | |
|
1608 Lemoine Ave Ste 203 Fort Lee NJ 07024-5636 | |
| (201) 724-3890 | |
| Not Available |
| Full Name | Christian Kim Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1608 Lemoine Ave, Fort Lee, New Jersey |
| Authorized Official Name and Position | Christian C Kim (PRESIDENT) |
| Authorized Official Contact | 2017243890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Kim Md, Pc 193 Crest Dr Paramus NJ 07652-5209 Ph: (201) 724-3890 | Christian Kim Md, Pc 1608 Lemoine Ave Ste 203 Fort Lee NJ 07024-5636 Ph: (201) 724-3890 |
| NPI Number | 1639603244 |
|---|---|
| Provider Enumeration Date | 04/20/2017 |
| Last Update Date | 04/20/2017 |
| Medicare PECOS PAC ID | 8820366040 |
|---|---|
| Medicare Enrollment ID | O20170612002898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639603244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Se Min Kim |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831402825 PECOS PAC ID: 5395970446 Enrollment ID: I20131028001262 |
| Provider Name | Christian Ck Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457580177 PECOS PAC ID: 9234278672 Enrollment ID: I20150707001187 |
| Provider Name | Hyun-ho Choi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467800524 PECOS PAC ID: 3971834482 Enrollment ID: I20191015001939 |
| Provider Name | Inae Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033756010 PECOS PAC ID: 2062849912 Enrollment ID: I20200305001618 |
| Provider Name | John S Kang |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427459734 PECOS PAC ID: 3375964844 Enrollment ID: I20200624001479 |
| Provider Name | Yongsoo Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356971246 PECOS PAC ID: 8527451590 Enrollment ID: I20220216000005 |
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