KEVIN KIM (NPI# 1942838370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942838370 |
| Entity Type | Individual |
| Full Name | KEVIN KIM |
| Practice Address |
30 Prospect Ave Hackensack NJ 07601-1915 |
| Mailing Address |
898 Virgil Ave Ridgefield NJ 07657-1118 |
| Practice Telephone | 5519962000 |
| Mailing Telephone | 2019832959 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | NJ | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518426535 | Kevin Kim | Student in an Organized Health Care Education/Training Program | 12361 E 17th Ave, Room 2004, Aurora, CO 80045 | 2019-03-19 |
| 1669993119 | Kevin Yongkwan Kim | Acupuncturist | 14464 Orange Grove Ave, Hacienda Heights, CA 91745-2557 | 2017-07-05 |
| 1396942058 | Kevin Yunsang Kim | Acupuncturist | 8033 Corporate Center Dr Ste 400, Charlotte, NC 28226-4549 | 2007-06-27 |
| 1346468618 | Kevin Kim | Dentist | 201 University Oaks Ste 770, Round Rock, TX 78665-2422 | 2007-04-23 |
| 1790848471 | Kevin Kim | Dentist | Kim, Jung, Stevens, Stevens, Dds Ps, 6001 100th St Sw, Lakewood, WA 98499-2733 | 2006-12-18 |
| 1104994557 | Kevin C Kim | Family Medicine | 3663 W 6th St # Suit302, Los Angeles, CA 90020-3049 | 2006-12-02 |
| 1851485056 | Kevin B. Kim | Internal Medicine | 2100 Webster St Ste 326, San Francisco, CA 94115-2378 | 2006-10-03 |
| 1831680750 | Kevin Minsung Kim | Dentist | 1717 Olympia Way, Longview, WA 98632-3929 | 2018-05-26 |
| 1134626047 | Kevin Young Kim | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2018-04-07 |
| 1679081673 | Kevin Kim | Clinic/Center | 12158 Central Ave, Mitchellville, MD 20721-1932 | 2018-01-12 |
| Street Address |
30 PROSPECT AVE |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955279 | Despee Bockarie Konneh | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2005-07-14 |
| 1629675616 | Jena Marie Ahmed | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-10-03 |
| 1114532173 | Caroline Castro | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-09-15 |
| 1013521244 | Stephanie Akanbi | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-09-04 |
| 1639781388 | Caitlin Brianna Powers | Registered Nurse | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-08-22 |
| 1457960270 | Neha Bhasin | Registered Nurse | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-07-28 |
| 1083232375 | James Robert Hoff IIi | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-07-13 |
| 1043834336 | Daniel Sheldon | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-06-02 |
| 1710500780 | Ferdinand Pontejos | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-05-25 |
| 1972126969 | Eric Hugenberg | Pharmacist | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-05-25 |
| Find all providers in the same location | ||||
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699303206 | Alexander Harmon Bonte | Student in an Organized Health Care Education/Training Program | 360 Essex St Ste 402, Hackensack, NJ 07601-8566 | 2020-03-30 |
| 1841853637 | Kalliopi Pastellas Fountas | Student in an Organized Health Care Education/Training Program | 90 Prospect Ave Apt 8a, Hackensack, NJ 07601-1957 | 2019-04-17 |
| 1790348704 | Callie Lea Morano | Student in an Organized Health Care Education/Training Program | 130 Overlook Ave Apt 14f, Hackensack, NJ 07601-2223 | 2019-04-16 |
| 1942762877 | Dana Mohamed Rashid Omer | Student in an Organized Health Care Education/Training Program | 20 Prospect Ave Ste 409, Hackensack, NJ 07601-1997 | 2019-04-01 |
| 1669932927 | Hadi Najam | Student in an Organized Health Care Education/Training Program | 30 Prospect Ave # 1, Hackensack, NJ 07601-1915 | 2019-03-22 |
| 1720512387 | Hadi Abdul Mohammed | Student in an Organized Health Care Education/Training Program | 30 2nd St, Apartment 409, Hackensack, NJ 07601-2028 | 2017-04-20 |
| 1265842827 | Dewan K. Farhana | Student in an Organized Health Care Education/Training Program | 350 Prospect Ave, Apt. 704, Hackensack, NJ 07601-2592 | 2014-05-05 |
| 1245572155 | Jason Taniguchi | Student in an Organized Health Care Education/Training Program | 310 Prospect Ave, Apt 339, Hackensack, NJ 07601-7760 | 2013-03-19 |
| 1710249438 | Falguni Matalia | Student in an Organized Health Care Education/Training Program | 185 Prospect Ave Apt 9e, Hackensack, NJ 07601-2226 | 2012-06-08 |
| 1811503790 | Atara Rosenblatt | Student in an Organized Health Care Education/Training Program | 411 Hackensack Ave, Hackensack, NJ 07601-6328 | 2020-09-16 |
| Find all providers in HACKENSACK | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on KEVIN 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.