JUSTIN KIM MDPP COACH
NPI 1063904134
Counselor - Professional in Palisades Park, NJ

Active since June 04, 2018
7 BROAD AVE, SUITE 206, PALISADES PARK, NJ 07650(201) 313-0131 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Kim Mdpp Coach NPPES

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

JUSTIN KIM MDPP COACH (NPI 1063904134) is an individual professional provider in Palisades Park, New Jersey and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1063904134
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJUSTIN KIMCredential: MDPP COACH
Location Address7 BROAD AVE, SUITE 206Palisades Park, NJ 07650
Mailing Address7 Broad Ave, Suite 206Palisades Park, NJ 07650 · (201) 313-0131
Sole ProprietorYes
Enumeration DateJune 4, 2018
NPI 1063904134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
7 BROAD AVE, Palisades Park, NJ 07650

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
7 BROAD AVE, #309
PALISADES PARK, NJ 07650
Internal Medicine
7 BROAD AVE, SUITE 203
PALISADES PARK, NJ 07650
Pharmacy (Community/Retail Pharmacy)
7 BROAD AVE, STE 104
PALISADES PARK, NJ 07650
Physical Therapist
7 BROAD AVE, STE 309
PALISADES PARK, NJ 07650

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 Justin Kim's NPI number?

The NPI number for Justin Kim is 1063904134. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Where is Justin Kim located?

Justin Kim practices at 7 Broad Ave Suite 206, Palisades Park, NJ 07650. The listed phone number is (201) 313-0131.

What is Justin Kim's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Justin Kim was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.