DR. SOO JIN KIM (NPI# 1649427865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649427865 |
| Entity Type | Individual |
| Full Name | DR. SOO JIN KIM |
| Credential | DDS |
| Practice Address |
326 Garden St Ste 6 Carlstadt NJ 07072 |
| Mailing Address |
326 Garden St Ste 6 Carlstadt NJ 07072-1626 |
| Practice Telephone | 2017290900 |
| Mailing Telephone | 2017290900 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 053948 | NY | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI02555900 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811324544 | Soo Jin Kim | Pharmacist | 14011 Palm Dr, Desert Hot Springs, CA 92240-6845 | 2013-09-26 |
| 1548570740 | Soo Jin Kim | Chiropractor | 819 S Alvarado St Ste 202, Los Angeles, CA 90057-4085 | 2010-10-21 |
| 1013349687 | Soo Jin Kim | Pharmacist | 9700 Menaul Blvd Ne, Albuquerque, NM 87112-2301 | 2013-08-05 |
| 1629300033 | Soo Jin Kim | Nurse Practitioner | 820 S Damen Ave, Chicago, IL 60612-3728 | 2010-02-10 |
| Street Address |
326 GARDEN ST STE 6 |
| City | CARLSTADT |
| State | NJ |
| Zip Code | 07072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225435837 | Shannon Lampert | Counselor | 34b Nott St., Saco, ME 07072 | 2014-11-25 |
| 1942560123 | Sperling Laser Associates | Clinic/Center | 2501 Springdale Road, Cherry Hill, NJ 07072 | 2012-05-22 |
| 1932484920 | Christine Margaret Carnevale | Pharmacist | 637 Hoboken Road, Walgreens Pharmacy Dept., Carlstadt, NJ 07072 | 2011-10-21 |
| 1134412539 | Young Ho Lee | Acupuncturist | 530 Broad St., 2nd Fl., Carlstadt, NJ 07072 | 2011-05-18 |
| 1083857593 | Oladapo Michael Babatunde | Orthopaedic Surgery | 630 Broad St Ste 3-300, Carlstadt, NJ 07072 | 2009-04-14 |
| 1629083514 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 637 Hoboken Rd, Carlstadt, NJ 07072 | 2006-07-29 |
| 1669821237 | David Burke | Physical Therapist | 630 Broad St, Carlstadt, NJ 07072 | 2016-06-06 |
| 1356777270 | Michael Grembowiec | Physical Therapist | 630 Broad Street, Carlstadt, NJ 07072 | 2013-09-24 |
| 1285903906 | Owusu A. Duah-elwis | Pharmacist | 637 Hoboken Rd, Carlstadt, NJ 07072 | 2011-12-27 |
| 1316997893 | Sovereign Health Imaging, LLC | Nuclear Medicine | 630 Broad Street, Carlstadt, NJ 07072-0468 | 2006-05-12 |
| Find all providers in zip 07072 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578739819 | Frank Anthony Barbire | Dentist | 429 Hackensack St, Carlstadt, NJ 07072-1302 | 2008-05-06 |
| 1922284389 | Chwen-mei Chen | Dentist | 419 Hackensack St, Carlstadt, NJ 07072-1302 | 2008-01-16 |
| 1316073364 | Elzbieta Szymanowska | Dentist | 405 Hackensack St, Carlstadt, NJ 07072-1310 | 2007-02-26 |
| 1871507137 | Gerald V. Rizzo Dmd, PC | Dentist | 445 Hackensack St, Carlstadt, NJ 07072-1311 | 2006-07-29 |
| 1629084819 | Gerald Vincent Rizzo | Dentist | 445 Hackensack St, Carlstadt, NJ 07072-1311 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861750 | Columbia Dental of Elizabeth Pa | Dentist | 151 Jefferson Avenue, Elizabeth, NJ 07201 | 2020-11-04 |
| 1790385490 | Progressive Dental Group | Dentist | 246 N Franklin Tpke Ste 4, Ramsey, NJ 07446-1635 | 2020-10-30 |
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1811596307 | Kinjal J Mehta | Dentist | 151 Jefferson Ave, Elizabeth, NJ 07201-2490 | 2020-10-26 |
| 1093314668 | Chandan Venkatesh | Dentist | 193 Westgate Dr, Edison, NJ 08820-1164 | 2020-10-23 |
| 1326645664 | Amed Bientz Mendez | Dentist | 700 N Broad St Ste 101, Elizabeth, NJ 07208-2310 | 2020-10-08 |
| 1407463086 | Mina Youssef | Dentist | 821 Bergen Ave Apt B2, Jersey City, NJ 07306-4522 | 2020-09-28 |
| 1912518820 | Tyler Yim | Dentist | 44 Fairfield Dr, Short Hills, NJ 07078-1703 | 2020-08-13 |
| 1902416639 | Anna Lee | Dentist | 666 Plainsboro Rd Ste 408, Plainsboro, NJ 08536-3009 | 2020-08-06 |
| 1164032413 | Qurratulann Talat Khokhar | Dentist | 53 W 56th St, Bayonne, NJ 07002-4113 | 2020-08-02 |
| 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.