Daryl Kyung Kim (NPI# 1730175431, PAC ID# 9234028945) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1730175431 |
| PAC ID by PECOS | 9234028945 |
| Professional Enrollment ID | I20070215000483 |
| Full Name | Daryl Kyung Kim |
| Organization Legal Name | PREMIER HEALTH ASSOCIATES LLC |
| Address |
272 Route 206 N Suite 6 Andover NJ 07821-3949 |
| Phone Number | 9733472273 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1996 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0840283008 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310028 | NEWTON MEDICAL CENTER |
| 390201 | LEHIGH VALLEY HOSPITAL - POCONO |
| 310015 | MORRISTOWN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 272 Route 206 N, Suite 6, Andover, NJ 07821-3949 | 9733472273 | PREMIER HEALTH ASSOCIATES LLC |
| 5 Eisenhower Rd, Columbia, NJ 07832-2716 | 9083625360 | PREMIER HEALTH ASSOCIATES LLC |
| 123 Newton Sparta Rd, Newton, NJ 07860-2769 | 9735796300 | PREMIER HEALTH ASSOCIATES LLC |
| 89 Sparta Ave, Suite 100, Sparta, NJ 07871-1790 | 9737292121 | PREMIER HEALTH ASSOCIATES LLC |
| Organization Legal Name | PREMIER HEALTH ASSOCIATES LLC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin Wolcott | Physical Therapy | Premier Health Associates LLC | 280 Newton Sparta Rd, Suite 8, Newton, NJ 07860-2775 |
| Nicole M Lopez | Orthopedic Surgery | Premier Health Associates LLC | 532 Lafayette Rd, Suite 100, Sparta, NJ 07871-4411 |
| Gloria M Canizales | Family Medicine | Premier Health Associates LLC | 225 State Route 23, Suite 1c, Hamburg, NJ 07419-1704 |
| Aradhana Aggarwal | Internal Medicine | Premier Health Associates LLC | 89 Sparta Ave, Suite 100, Sparta, NJ 07871-1790 |
| Nick Paul Debitetto | Internal Medicine | Premier Health Associates LLC | 123 Newton Sparta Rd, Newton, NJ 07860-2769 |
| Melissa L Reilly | Family Medicine | Premier Health Associates LLC | 272 Route 206 N, Suite 6, Andover, NJ 07821-3949 |
| Anthony A Depaola | Internal Medicine | Premier Health Associates LLC | 202 Route 206 N, Suite A, Branchville, NJ 07826-0582 |
| John D Mcgraw | Family Medicine | Premier Health Associates LLC | 123 Newton Sparta Rd, Newton, NJ 07860-2769 |
| Glen E Bradish | Orthopedic Surgery | Premier Health Associates LLC | 25 Pocono Rd, Denville, NJ 07834-2954 |
| Eric S Hansen | Internal Medicine | Premier Health Associates LLC | 225 State Route 23, Suite 1c, Hamburg, NJ 07419-1704 |
| Street Address |
272 ROUTE 206 N SUITE 6 |
| City | ANDOVER |
| State | NJ |
| Zip | 07821-3949 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa L Reilly | Family Medicine | Premier Health Associates LLC | 272 Route 206 N, Suite 6, Andover, NJ 07821-3949 |
| Walter R Grote | Internal Medicine | Premier Health Associates LLC | 272 Route 206 N, Suite 6, Andover, NJ 07821-3949 |
| Joseph J Casella | Family Medicine | Premier Health Associates LLC | 272 Route 206 N, Suite 6, Andover, NJ 07821-3949 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay Schmitz | Physical Therapy | Andover Mohawk Physical Therapy | 8 Lenape Rd, Andover, NJ 07821-4589 |
| Catherine R Trader | Family Medicine | 8 Lenape Rd, Andover, NJ 07821-4589 | |
| Patrick D Collier | Physical Therapy | Andover Mohawk Physical Therapy | 8 Lenape Rd, Andover, NJ 07821-4589 |
| Christina B Jonsson | Physical Therapy | Andover Mohawk Physical Therapy | 8 Lenape Rd, Andover, NJ 07821-4589 |
| Teresa Litchfield | Chiropractic | Andover Mini Mall, Rt 206 N, Andover, NJ 07821-9806 |
| City | ANDOVER |
| Zip Code | 07821 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | ANDOVER + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Daryl Kyung Kim.
| 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.