MR. DAVID SUKSOO KIM (NPI# 1851609861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851609861 |
| Entity Type | Individual |
| Full Name | MR. DAVID SUKSOO KIM |
| Credential | L. AC, |
| Practice Address |
169 Broad Ave Leonia NJ 07605-2029 |
| Practice Telephone | 2013462001 |
| Practice Fax Number | 2013462001 |
| Mailing Telephone | 2013462001 |
| Mailing Fax Number | 2013462001 |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2013-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | 25 003677 | NY | Other Service Providers |
| Y | 171100000X | Acupuncturist | 25MZ00059700 | NJ | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1578106852 | David H Kim | Dentist | 2058 Kings Cross Ln, Cordova, TN 38016-5176 | 2019-10-19 |
| 1194378877 | David S Kim | Dentist | 121 Tatham Rd, Bensalem, PA 19020-1641 | 2019-07-22 |
| 1790341691 | David Kim | Physician Assistant | 993f Johnson Ferry Rd Ste 210, Atlanta, GA 30342-1602 | 2019-05-15 |
| 1316407539 | David Kim | Behavior Technician | 6056 Delaware Park Ct, Eastvale, CA 92880-0984 | 2019-03-22 |
| 1104398593 | David Solomon Kim | Acupuncturist | 3520 147th St Ph 1f, Flushing, NY 11354-3773 | 2018-12-22 |
| 1942738935 | David Kim | Social Worker | 45 Douglass St # 3, Brooklyn, NY 11231-4716 | 2017-06-02 |
| 1841673936 | David Hoyeon Kim | Dentist | 1234 Devonshire Ln, La Habra, CA 90631-7421 | 2015-07-07 |
| 1235517996 | David Kim | Surgery | 3401 N Broad St # 3ppc388, Philadelphia, PA 19140 | 2015-05-14 |
| 1114318383 | David Tae Hun Kim | Dentist | 736 Tangelo Way, Fullerton, CA 92832-2630 | 2015-02-10 |
| Street Address |
169 BROAD AVE |
| City | LEONIA |
| State | NJ |
| Zip Code | 07605-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215459862 | Julie J Park | Acupuncturist | 113 Kingsley Street, Apt 2f, Leoni, NJ 07605 | 2017-07-14 |
| 1669894838 | Jinha Park | Physical Therapist | 135 Fort Lee Rd Ste 104, Leonia, NJ 07605 | 2014-01-07 |
| 1881956852 | Drama for Healing, LLC | Community/Behavioral Health | 127 Christie Street, 1st Floor, Leonia, NJ 07605 | 2012-06-14 |
| 1740566058 | Jacqueline Juele-schuster | Nurse Practitioner | 471 Broad Avenue, Leonia, NJ 07605 | 2011-11-01 |
| 1083914279 | Dohyang Lee | Nurse Practitioner | 600 Grand Ave., Leonia, NJ 07605 | 2010-10-22 |
| 1912052390 | Zelick Block | Psychologist | 189 Moore Ave, Leonia, NJ 07605 | 2007-01-24 |
| 1356885875 | Joo Medical Center | Clinic/Center | 388 Broad Ave, Leonia, NJ 07605 | 2016-12-19 |
| 1942360599 | Tae Yul Choi | Dentist | 110 Broad Ave, Leonia, NJ 07605 | 2006-12-12 |
| 1124321914 | Hae Sun Lee | Acupuncturist | 536 Nordhoff Dr, Leonia, NJ 07605-1012 | 2010-12-16 |
| 1437540382 | Barry Taller | Student in an Organized Health Care Education/Training Program | 570 Nordhoff Dr, Leonia, NJ 07605-1013 | 2015-02-13 |
| Find all providers in zip 07605 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210019 | Jin S Lee | Acupuncturist | 427 Hazlitt Ave, Leonia, NJ 07605-1209 | 2019-05-20 |
| 1053822361 | Jung Rim Bae | Acupuncturist | 111 Broad Ave, Leonia, NJ 07605-2020 | 2017-10-14 |
| 1255718805 | Janghun Lee | Acupuncturist | 326 Broad Ave, Leonia, NJ 07605-1703 | 2015-05-04 |
| 1215349600 | Myung Yu | Acupuncturist | 122 Palisade Ave, Leonia, NJ 07605-1924 | 2014-05-20 |
| 1013212455 | Yuui,inc. | Acupuncturist | 29 Lakeview Ave, #a, Leonia, NJ 07605-2192 | 2011-01-16 |
| 1124321914 | Hae Sun Lee | Acupuncturist | 536 Nordhoff Dr, Leonia, NJ 07605-1012 | 2010-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538020 | Patrick Hartley Cole | Acupuncturist | 74 Roosevelt Ave, Hasbrouck Hts, NJ 07604-1010 | 2020-11-06 |
| 1679172944 | Lea Rose Candelmo | Acupuncturist | 171 Franklin Tpke Ste 205, Waldwick, NJ 07463-1843 | 2020-10-19 |
| 1720685274 | Hyun Dong Ahn | Acupuncturist | 300 Park St Apt 4a, Hackensack, NJ 07601-4346 | 2020-10-07 |
| 1538766084 | Melissa Bariletti | Acupuncturist | 1500 Harbor Blvd Apt 609, Weehawken, NJ 07086-5312 | 2020-10-07 |
| 1174120802 | Yoonyoung Lee | Acupuncturist | 625 Cadmus Ct, Teaneck, NJ 07666-1620 | 2020-10-06 |
| 1497352132 | Sun Choi | Acupuncturist | 1 Towne Ctr Apt 512, Cliffside Park, NJ 07010-2051 | 2020-10-06 |
| 1205441359 | Traditional Chinese Acupuncture and Herbs Clinic | Acupuncturist | 160 Tices Ln, East Brunswick, NJ 08816-2016 | 2020-09-14 |
| 1386259505 | Meridian Acupuncture and Oriental Medicine | Acupuncturist | 525 Route 73 S Ste 305b, Marlton, NJ 08053-9644 | 2020-09-14 |
| 1124633664 | Nikolaos George Karelas | Acupuncturist | 9 Rutgers Ave # 2, Jersey City, NJ 07305-2810 | 2020-09-11 |
| 1447860051 | Politis Chiropractic LLC | Acupuncturist | 260 W Crescent Ave Ste 2, Allendale, NJ 07401-1532 | 2020-08-07 |
| 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.