EDWARD TAE KIM (NPI# 1457567836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457567836 |
| Entity Type | Individual |
| Full Name | EDWARD TAE KIM |
| Other Name | EDWARD TAE KIM |
| Practice Address |
658 N Black Horse Pk Runnemede NJ 08078 |
| Practice Telephone | 8569393405 |
| Practice Fax Number | 8569390104 |
| Mailing Telephone | 8569393405 |
| Mailing Fax Number | 8569390104 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 11227 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497201701 | Edward Kim | Student in an Organized Health Care Education/Training Program | 1400 N Interstate 35 Ste 2.230, Austin, TX 78701 | 2016-08-28 |
| 1700084886 | Edward S Kim | Dentist | 9110 Railroad Dr Ste 201, Manassas Park, VA 20111-7041 | 2007-07-10 |
| 1679619092 | Edward T Kim | Internal Medicine | 2222 East St Ste 305, Concord, CA 94520-2066 | 2007-01-30 |
| 1982779013 | Edward Yungjung Kim | Dentist | 5205 S. Durango Dr. #103, Las Vegas, NV 89113 | 2006-11-22 |
| 1992807366 | Edward S Kim | Dentist | 191 Hamburg Turnpike, Pompton Lakes, NJ 07442 | 2006-09-05 |
| 1346264595 | Edward H. Kim | Podiatrist | 1245 Wilshire Blvd Ste 202, Los Angeles, CA 90017-4810 | 2006-07-27 |
| 1952369548 | Edward Kim | Internal Medicine | 7 Community Dr, Buffalo, NY 14225-2523 | 2006-05-03 |
| 1316948029 | Edward D Kim | Urology | 1928 Alcoa Hwy, Bldg B Suite 222, Knoxville, TN 37920-1502 | 2005-08-03 |
| 1275538076 | Edward C Kim | Internal Medicine | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2005-06-17 |
| 1982248365 | Edward Kim | Pharmacist | 4949 Gosford Rd, Bakersfield, CA 93313-4992 | 2019-10-29 |
| Street Address |
658 N BLACK HORSE PK |
| City | RUNNEMEDE |
| State | NJ |
| Zip Code | 08078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053772061 | Marie Vena | Pharmacist | 501 East Evesham Road, Runnemede, NJ 08078 | 2016-03-18 |
| 1285726760 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 824 Black Horse Pike, Runnemede, NJ 08078 | 2006-09-29 |
| 1730291360 | Michael K. Colbert | Counselor | 117 N Black Horse Pike, Suite 2, Runnemede, NJ 08078 | 2006-08-31 |
| 1700997814 | Dennis A. Cesare | Marriage & Family Therapist | 117 North Black Horse Pike, Runnemede, NJ 08078 | 2006-08-31 |
| 1912940032 | Ashok A Patel | Internal Medicine | 300 S. Black Horse Pike, Runnemede, NJ 08078 | 2006-06-14 |
| 1457307712 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 501 E Evesham Rd, Runnemede, NJ 08078 | 2006-05-26 |
| 1871031575 | Gabrielle Lynne Beckett | Counselor | 811 Bowers Ave, Runnemede, NJ 08078-1002 | 2017-02-02 |
| 1427405570 | Kathleen Patricia Goebel | Registered Nurse | 809 N Read Ave, Runnemede, NJ 08078-1029 | 2016-05-18 |
| 1245654771 | Laura Bennett | Nurse Practitioner | 824 Black Horse Pike Nj001, Suite B, Runnemede, NJ 08078-1034 | 2014-02-04 |
| 1154407302 | Debra Mcmire | Nurse Practitioner | 824 N Black Horse Pike, Minute Clinic, Runnemede, NJ 08078-1034 | 2006-10-31 |
| Find all providers in zip 08078 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1699304949 | Maria Izabel Salazar Izeppi | General Practice | 51 Fawn Hollow Rd, Burlington, NJ 08016-3966 | 2020-04-07 |
| 1114558780 | Greenbook Health & Wellness | General Practice | 169 Ivy St, Newark, NJ 07106-2843 | 2020-01-31 |
| 1932742533 | Alexandra Grace Cantelmo | General Practice | 170 Marketplace Blvd, Hamilton, NJ 08691-2103 | 2019-10-26 |
| 1477196707 | Dragonfly Health | General Practice | 151 Fries Mill Rd Ste 104, Turnersville, NJ 08012-2056 | 2019-10-18 |
| 1639711500 | Health Focus Agency | General Practice | 201 Laurel Creek Blvd, Moorestown, NJ 08057-3965 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
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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.