MR. SEAN SANGMIN KIM (NPI# 1477182467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477182467 |
| Entity Type | Individual |
| Full Name | MR. SEAN SANGMIN KIM |
| Practice Address |
110 Bergen St Newark NJ 07103-2495 |
| Practice Telephone | 6178946011 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215371190 | Sean Seokwon Kim | Pharmacist | 435 Estancia, Irvine, CA 92602-1109 | 2013-04-23 |
| 1922311489 | Sean H Kim | Chiropractor | 2535 Kettner Blvd Ste 2a3, San Diego, CA 92101-1253 | 2010-07-26 |
| 1215153911 | Sean S Kim | Dentist | 19029 Beavercreek Rd, Oregon City, OR 97045-9537 | 2007-04-18 |
| 1326608399 | Sean Kim | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Ste 5512, West Hollywood, CA 90048-1804 | 2019-06-20 |
| 1588124697 | Sean Kim | Student in an Organized Health Care Education/Training Program | 500 University Dr, Hershey, PA 17033-2360 | 2019-03-23 |
| 1982186813 | Sean Kim | Chiropractor | 15015 Main St Ste 106, Bellevue, WA 98007-5229 | 2018-09-06 |
| 1558862284 | Sean Kim | Chiropractor | 723 7th Ave Rm 703, New York, NY 10019-6876 | 2018-02-27 |
| 1215456041 | Sean Sangho Kim | Dentist | 2711 Santa Ana St, South Gate, CA 90280-2021 | 2017-09-13 |
| 1235662727 | Sean Seungwon Kim | Family Medicine | 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 | 2017-04-11 |
| 1194134197 | Sean Sunghak Kim | Physical Therapist | 129 W Wilson St, Suite 202, Costa Mesa, CA 92627-1586 | 2014-08-05 |
| Street Address |
110 BERGEN ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083607188 | Justin Howard Stone | Dentist | 110 Bergen St, Reception Area 8, Newark, NJ 07103-2495 | 2005-08-24 |
| 1376169987 | Christian Frank Carcione | Dentist | 110 Bergen St, Newark, NJ 07103-2495 | 2020-06-19 |
| 1760007835 | Tyler Branson Jacobs | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-06-14 |
| 1649895863 | Allison Derenzi | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-06-12 |
| 1912521865 | Justin Shane Dinowitz | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-06-05 |
| 1700400058 | Michael Thinh Tran | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-06-02 |
| 1154944783 | Viveka Patel | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-05-18 |
| 1346861630 | Joshua Paul Lilly | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Dept. of Oral and Maxillofacial Surgery, Newark, NJ 07103 | 2020-04-28 |
| 1043830409 | Suzana Mamo | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-04-25 |
| 1073133864 | Zehra Husain | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477165959 | Nikolina Markovic | Student in an Organized Health Care Education/Training Program | 140 Bergen St # I121, Newark, NJ 07103-2425 | 2020-08-17 |
| 1770191413 | Matthias Dunse | Student in an Organized Health Care Education/Training Program | 90 Bergen St # 5200, Newark, NJ 07103-2425 | 2020-07-20 |
| 1659998805 | Alejandra Lazaro | Student in an Organized Health Care Education/Training Program | 35982 Burning Tree Dr, Newark, CA 94560-1530 | 2020-07-02 |
| 1912524968 | Tyson Mellish Anthony | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave Bldg G595, Newark, NJ 07103-2757 | 2020-06-25 |
| 1891319646 | Mary Thi Tran | Student in an Organized Health Care Education/Training Program | 6230 Smith Ave, Newark, CA 94560-4541 | 2020-06-07 |
| 1891319638 | Onoyom O Onyile | Student in an Organized Health Care Education/Training Program | 110 Bergen St Rm C-723, Newark, NJ 07103-2495 | 2020-06-07 |
| 1235750936 | Dave Arnanth Thiyagaram | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave Medical Science Building, Suite G, Newark, NJ 07103-2757 | 2020-05-04 |
| 1619597093 | Naana Boachie | Student in an Organized Health Care Education/Training Program | 11 7th Ave Apt 5c, Newark, NJ 07104-3303 | 2020-04-25 |
| 1447870480 | Hadeel Samy Sadek | Student in an Organized Health Care Education/Training Program | 150 Bergen St # Uhi248, Newark, NJ 07103-2496 | 2020-04-20 |
| 1225657836 | Deneshia Mcintosh | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave Bldg G594, Newark, NJ 07103-2757 | 2020-04-14 |
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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.