DR. SOO CHONG KIM (NPI# 1528353273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528353273 |
| Entity Type | Individual |
| Full Name | DR. SOO CHONG KIM |
| Credential | MD |
| Practice Address |
360 Essex St Ste 401 Hackensack NJ 07601 |
| Mailing Address |
360 Essex St Ste 401 Hackensack NJ 07601-8566 |
| Practice Telephone | 5519961140 |
| Practice Fax Number | 5519960543 |
| Mailing Telephone | 5519961140 |
| Mailing Fax Number | 5519960543 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2018-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
25MA09671600 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0459810 | 05 |
| Street Address |
360 ESSEX ST STE 401 |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649372558 | Florentino Abueg | Internal Medicine | 360 Essex St Ste 401, Hackensack, NJ 07601-8566 | 2006-09-01 |
| 1548563851 | Genique Stanislaus | Nurse Practitioner | 360 Essex St Ste 401, Hackensack, NJ 07601-8566 | 2010-12-08 |
| 1295921773 | Isao Iwata | Internal Medicine | 360 Essex St Ste 401, Hackensack, NJ 07601 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306121504 | Geriatrics and Longevity Treatment Specialist, PC | Family Medicine | 810 Main St, Hackensack, NJ 07601-4847 | 2011-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538643150 | Gemini Health and Rehabilitation, LLC | Family Medicine | 51 Kinglet Dr S, Cranbury, NJ 08512-2133 | 2018-09-19 |
| 1962820365 | Kledia Blloshmi | Family Medicine | 435 South St Ste 390, Morristown, NJ 07960 | 2014-04-02 |
| 1891124996 | Best Doctors LLC | Family Medicine | 98 James St Ste 103, Edison, NJ 08820-3902 | 2013-11-08 |
| 1346582103 | Frank A.e Bonifacio | Family Medicine | 87 Waterman Ave, Rumson, NJ 07760-2038 | 2013-03-20 |
| 1497090872 | Health Sympl Inc. | Family Medicine | 2709 Route 130, Cranbury, NJ 08512-3137 | 2012-12-11 |
| 1700174166 | Dennie Bryant | Family Medicine | 91 Kingsbridge Dr, Lumberton, NJ 08048-5033 | 2011-07-19 |
| 1720234982 | Visiting Doctors of New Jersey, LLC | Family Medicine | 1421 Summit Avenue, Toms River, NJ 08753 | 2008-08-07 |
| 1497959696 | Zareen Taj Syed | Family Medicine | 629 Amboy Ave Fl 3, 302, Edison, NJ 08837-3579 | 2007-06-12 |
| 1396954145 | Gretchen B. Fahrenbruch | Family Medicine | 54 Montgomery St, Princeton Jct, NJ 08550-1335 | 2007-05-21 |
| 1114060647 | Joseph F Dougherty | Family Medicine | 17 Emerson Dr, Cinnaminson, NJ 08077-4059 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
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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.