GLORIA S. KIM (NPI# 1740348986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740348986 |
| Entity Type | Individual |
| Full Name | GLORIA S. KIM |
| Credential | CRNP |
| Practice Address |
4735 Ogletown Stanton Rd Ste 1250 Newark DE 19713 |
| Mailing Address |
200 Hygeia Dr Ste 2300 Newark DE 19713-2049 |
| Practice Telephone | 3026230200 |
| Practice Fax Number | 3026230117 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | L1-0020432 | DE | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
LG-0000396 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1740348986 | 05 | |
| DE | MEDICARE GROUP NUMBER | 162440 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1941 Limestone Road, Suite 211, Wilmington, DE 198085400 | 3029981151 | 3029981154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376772178 | Gloria Seon-young Kim | Dentist | 24805 Pinebrook Rd # 311, Chantilly, VA 20152 | 2009-07-14 |
| 1194201616 | Gloria Kim | Pharmacist | 3020 Childrens Way, San Diego, CA 92123-4223 | 2018-07-18 |
| 1922598499 | Gloria Kim | Music Therapist | 1291 Stanley Rd Nw, Kennesaw, GA 30152-4359 | 2018-05-10 |
| 1043726219 | Gloria Kim | Pharmacist | 810 Main St, Belmar, NJ 07719-2706 | 2017-12-23 |
| 1366956278 | Gloria Kim | Nurse Practitioner | 700 University City Blvd, Blacksburg, VA 24060-2706 | 2017-11-30 |
| 1922522556 | Gloria Kim | Psychologist | 460 W 34th St Fl 11, New York, NY 10001-2320 | 2017-07-25 |
| 1700234010 | Gloria Kim | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, 2201b Taubman Center, Ann Arbor, MI 48109-5329 | 2016-05-26 |
| 1568719615 | Gloria Kim | Physician Assistant | 4885 Hoffman Blvd, 400, Hoffman Estates, IL 60192-3726 | 2012-08-08 |
| 1750530911 | Gloria Kim | Obstetrics & Gynecology | 3825 Highland Ave, Suite 3k, Downers Grove, IL 60515-1589 | 2008-09-12 |
| 1518124536 | Gloria Sung Kim | Internal Medicine | 2020 Santa Monica Blvd, Ste. 210, Santa Monica, CA 90404-2023 | 2008-05-19 |
| Street Address |
4735 OGLETOWN STANTON RD STE 1250 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134104565 | Christiana Care Health Services, Inc | Family Medicine | 4735 Ogletown Stanton Rd Ste 1250, Newark, DE 19713-2076 | 2005-12-08 |
| 1881198786 | Kelsey Elizabeth Huntoon | Nurse Practitioner | 4735 Ogletown Stanton Rd Ste 1250, Newark, DE 19713-2076 | 2018-03-23 |
| 1225567464 | Keerthi L Surampudy | Family Medicine | 4735 Ogletown Stanton Rd Ste 1250, Newark, DE 19713-2076 | 2017-06-10 |
| 1205127172 | Vishal R Patel | Internal Medicine | 4735 Ogletown Stanton Rd Ste 1250, Newark, DE 19713-2076 | 2011-04-27 |
| 1679723258 | Vani Singh | Family Medicine | 4735 Ogletown Stanton Rd Ste 1250, Newark, DE 19713-2076 | 2008-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647892 | Katlyn Brewington | Nurse Practitioner | 1233b Churchmans Rd, Newark, DE 19713-2149 | 2020-10-25 |
| 1851990600 | Brandy Baker | Nurse Practitioner | 494 Yorkshire Dr, Newark, OH 43055-1522 | 2020-10-22 |
| 1508464397 | Abimbola Otufale | Nurse Practitioner | 252b Camden St, Newark, NJ 07103-2434 | 2020-10-13 |
| 1033755608 | Christine Nophut | Nurse Practitioner | 17 Polly Drummond Shpg Ctr, Newark, DE 19711-4820 | 2019-11-19 |
| 1215578091 | Lucy Ogechi Efobi | Nurse Practitioner | 194 Clinton Ave Lowr Level, Newark, NJ 07108-2809 | 2019-10-03 |
| 1518518323 | Jasmine Barksdale | Nurse Practitioner | 4110 Ogletown Stanton Rd, Newark, DE 19713-4169 | 2019-09-23 |
| 1467013136 | Getrude Tate Nguatem | Nurse Practitioner | Churchman Vlg, Newark, DE 19713-2068 | 2019-06-24 |
| 1285298679 | Olufolake Remi Adepoju | Nurse Practitioner | 258 Chapman Rd, Newark, DE 19702-5445 | 2019-05-01 |
| 1285100420 | Vida Araba Paintsil | Nurse Practitioner | University Hospital- Nursing Office, 90 Bergen Street, Newark, NJ 07102-0710 | 2018-10-15 |
| 1992291280 | Palak Praful Desai | Nurse Practitioner | 1 Chestnut Hill Plz, Newark, DE 19713-2701 | 2018-07-10 |
| Find all providers in NEWARK | ||||
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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.