Kim King Chan (NPI# 1750383188, PAC ID# 7911993175) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1750383188 |
| PAC ID by PECOS | 7911993175 |
| Professional Enrollment ID | I20040422001056 |
| Full Name | Kim King Chan |
| Organization Legal Name | NORTHWARD HOSPITAL ASSOCIATES |
| Address |
495 N 13th St Newark NJ 07107-1317 |
| Phone Number | 9734490612 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1972 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9436446846 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310002 | NEWARK BETH ISRAEL MEDICAL CENTER |
| 310009 | CLARA MAASS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 495 N 13th St, Newark, NJ 07107-1317 | 9734490612 | NORTHWARD HOSPITAL ASSOCIATES |
| Organization Legal Name | NORTHWARD HOSPITAL ASSOCIATES |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Guillermo P Narvaez Jr. | General Surgery | Northward Hospital Associates | 495 N 13th St, Newark, NJ 07107-1317 |
| Street Address |
495 N 13TH ST |
| City | NEWARK |
| State | NJ |
| Zip | 07107-1317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evelynn F Johnston | Nurse Practitioner | Nephrological Associates Pa | 495 N 13th St, Newark, NJ 07107-1317 |
| Robert David Zenenberg | Nephrology | Nephrological Associates Pa | 495 N 13th St, Newark, NJ 07107-1317 |
| Chantileer Bondurant | Nurse Practitioner | Nephrological Associates Pa | 495 N 13th St, Newark, NJ 07107-1317 |
| Neil Lyman | Nephrology | Nephrological Associates Pa | 495 N 13th St, Newark, NJ 07107-1317 |
| Lawrence H Byrd | Nephrology | Nephrological Associates Pa | 495 N 13th St, Newark, NJ 07107-1317 |
| Donald J Beggs | Infectious Disease | 495 N 13th St, Columbus Hospital, Newark, NJ 07107-1317 | |
| Yiling Yao | Nurse Practitioner | Nephrological Associates Pa | 495 N 13th St, Newark, NJ 07107-1317 |
| Guillermo P Narvaez Jr. | General Surgery | Northward Hospital Associates | 495 N 13th St, Newark, NJ 07107-1317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Franco Rizzolo | Chiropractic | Suburban Orthopaedic Medical Center, LLC | 554 Bloomfield Ave, Newark, NJ 07107-1338 |
| Andrew Carollo | Orthopedic Surgery | Suburban Orthopaedic Medical Center, LLC | 554 Bloomfield Ave, Newark, NJ 07107-1338 |
| Herneet K Sahani | Endocrinology | 539 Bloomfield Ave, Newark, NJ 07107-1385 | |
| Inderpal S Chadha | Internal Medicine | 539 Bloomfield Ave, Newark, NJ 07107-1385 | |
| Natasha Fuksina | Internal Medicine | 550 Bloomfield Ave, Newark, NJ 07107-1386 | |
| Candrick C Darkashade | Psychologist, Clinical | 285 Roseville Ave, Newark, NJ 07107-1703 | |
| Viviane B Ackad | Internal Medicine | 337 Bloomfield Ave, Suite A2, Newark, NJ 07107-2405 | |
| Robert D Collin | Internal Medicine | 337 Bloomfield Ave, Newark, NJ 07107-2405 | |
| Diane L Fortunato | Internal Medicine | 509 Roseville Ave, Newark, NJ 07107-2444 | |
| Parul S Amin | Internal Medicine | 906 N 5th St, Suite C 101, Newark, NJ 07107-2845 | |
| Find all physicians in zip 07107 | |||
| City | NEWARK |
| Zip Code | 07107 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | NEWARK + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.