MYUNG KIM NP
NPI 1053133017
Nurse Practitioner - Gerontology in Linden, NJ

Active since October 30, 2024
623 N WOOD AVE # 6B, LINDEN, NJ 07036(908) 486-0990 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Myung Kim Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYUNG KIM NP (NPI 1053133017) is an individual gerontology provider in Linden, New Jersey, licensed in California (95318198) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1053133017
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMYUNG KIMCredential: NP
Location Address623 N WOOD AVE # 6BLinden, NJ 07036-4151
Mailing Address942 W Valencia Mesa DrFullerton, CA 92835-4010 · (917) 865-8271
Sole ProprietorYes
Enumeration DateOctober 30, 2024
NPPES CertifiedOctober 29, 2024
NPI 1053133017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in CA · 95318198
623 N WOOD AVE # 6B, Linden, NJ 07036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myung Kim's NPI number?

The NPI number for Myung Kim is 1053133017. It was assigned to this individual provider in the NPPES registry on October 30, 2024.

Where is Myung Kim located?

Myung Kim practices at 623 N Wood Ave # 6B, Linden, NJ 07036. The listed phone number is (908) 486-0990.

What is Myung Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Myung Kim was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.