SUSAN SOOJIN KIM (NPI# 1538424080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538424080 |
| Entity Type | Individual |
| Full Name | SUSAN SOOJIN KIM |
| Practice Address |
12 Sterling Pl 1st Fl Edgewater NJ 07020-1415 |
| Practice Telephone | 2126838905 |
| Mailing Telephone | 2018880042 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2014-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 814951142 | NY | Other Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1184263634 | Susan Kim | Pharmacist | 14529 28th Dr Se, Mill Creek, WA 98012-5707 | 2020-01-02 |
| 1548780901 | Susan Kim | Marriage & Family Therapist | 12625 High Bluff Dr Ste 103, San Diego, CA 92130-2053 | 2017-06-26 |
| 1013371210 | Susan Kim | Pharmacist | 192 Orchard Park Dr, Apt 287, Davis, CA 95616-5343 | 2016-04-13 |
| 1861893000 | Susan Kim | Dietitian, Registered | 21011 Storrs Rd, Sackets Harbor, NY 13685-3172 | 2014-09-08 |
| 1033559505 | Susan Kim | Counselor | 2900 Eastlake Ave E, Suite 220, Seattle, WA 98102-3012 | 2013-06-28 |
| 1427202456 | Susan Youn Kim | Optometrist | 3184 Queens East St, Eugene, OR 97401-8525 | 2008-11-04 |
| 1184807257 | Susan J. Kim | Physical Medicine & Rehabilitation | 7703 Floyd Curl Dr, Mc7798, San Antonio, TX 78229-3901 | 2007-12-12 |
| 1619019429 | Susan Kim | Acupuncturist | 4950 Wilshire Blvd, Los Angeles, CA 90010-3805 | 2007-02-12 |
| 1942352349 | Susan Chao Kim | Optometrist | 44414 Valley Central Way, Valley Central Shopping Center, Lancaster, CA 93536-6528 | 2007-01-17 |
| Street Address |
12 STERLING PL 1ST FL |
| City | EDGEWATER |
| State | NJ |
| Zip Code | 07020-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851737167 | One Hudson Medical Associates | Non-Pharmacy Dispensing Site | 1829 Hudson Park, Edgewater, NJ 07020 | 2013-05-14 |
| 1003164666 | Daisy Flores | Speech-Language Pathologist | 116 Panorama Drive, Edgewater, NJ 07020 | 2012-08-29 |
| 1518188622 | Barbara Nan Altman | Social Worker | 309 Thornton Court, Edgewater, NJ 07020 | 2007-05-02 |
| 1124173950 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 70 The Promenade Ste C5a, Edgewater, NJ 07020 | 2007-01-24 |
| 1104983717 | Edgewater Pediatrics PC | Pediatrics | 115 River Road, Suite 1003 Building #10, Edgewater, NJ 07020 | 2007-01-02 |
| 1255402293 | Skyview Dental Center LLP | Dentist | 880 River Road, 2nd Floor, Edgewater, NJ 07020 | 2006-11-13 |
| 1043228588 | Irfan Admani | Internal Medicine | 103 River Road, Edgewater, NJ 07020 | 2006-08-03 |
| 1851316319 | Duane Reade | Durable Medical Equipment & Medical Supplies | 11 Edgewater Towne Ctr, Edgewater, NJ 07020 | 2006-07-13 |
| 1679502215 | 968 River Road Radiology | Clinic/Center | 968 River Road, Edgewater, NJ 07020 | 2006-07-03 |
| 1447219191 | Corinne Jeanette Gehegan | Podiatrist | 725 River Road, Suite 201-a, Edgewater, NJ 07020 | 2006-03-21 |
| Find all providers in zip 07020 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205109071 | One Hudson Medical Associates | Specialist | One Hudson Park, Unit 1829, Edgewater, NJ 07020-1578 | 2012-02-09 |
| 1275826687 | Scott Adam Williams | Specialist | 2440 Kendall St, Edgewater, CO 80214-1046 | 2011-05-17 |
| 1245506930 | Gregory A Pappas Mdpc | Specialist | 968 River Rd, Edgewater, NJ 07020-2237 | 2012-03-27 |
| 1235218066 | Gregory Alexander Pappas | Specialist | 4 Main Street, Unit 5 Building F, Edgewater, NJ 07020-1719 | 2006-11-03 |
| 1144259383 | Vinod R Lala | Specialist | 968 River Rd, Suite 203, Edgewater, NJ 07020-2237 | 2006-07-01 |
| 1811937220 | Contemporary Womens Health Care LLC | Specialist | 968 River Rd, Suite 203, Edgewater, NJ 07020-2237 | 2006-06-07 |
| 1215974118 | Cross County Cardiology P A | Specialist | 103 River Rd, Edgewater, NJ 07020-1010 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817356 | Erica Strubbe-montalvo | Specialist | 135 Larch Ave, Bogota, NJ 07603-1504 | 2020-10-08 |
| 1154937076 | Ines P Serna | Specialist | 7312 Kiesel Pl, North Bergen, NJ 07047-4033 | 2020-09-16 |
| 1568077238 | Michelle Horowitz-firestone | Specialist | 5 Whitman Ter, Long Branch, NJ 07740-9310 | 2020-09-10 |
| 1811509946 | Iris Devaughn | Specialist | 218 High St Apt 6, Burlington City, NJ 08016-4420 | 2020-08-19 |
| 1083223572 | Enlyv Clinics | Specialist | 908 Oak Tree Ave Ste R, South Plainfield, NJ 07080-5135 | 2020-07-30 |
| 1235748971 | North Jersey Sports Medicine & Orthopedic Center, LLC | Specialist | 254b Mountain Ave Ste 201, Hackettstown, NJ 07840-2413 | 2020-07-29 |
| 1255958864 | Tiffany Nicole Pierce | Specialist | 730 Newark Ave Apt 12d, Jersey City, NJ 07306-2816 | 2020-06-30 |
| 1699391557 | Brojan Franchising Inc | Specialist | 76 Highland Trl, Denville, NJ 07834-2033 | 2020-06-17 |
| 1487274288 | Kyle Everage | Specialist | 129 Passaic Ave # 201, Kearny, NJ 07032-1105 | 2020-04-21 |
| 1548880644 | Michal Lasowsky | Specialist | 1 Idaho St, Passaic, NJ 07055-3336 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUSAN SOOJIN KIM.
| 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.