WANCHU THOMAS KIM MD
NPI 1104916378
General Practice in Clifton, NJ

Active since October 16, 2006
1272 CLIFTON AVE, CLIFTON, NJ 07012(973) 471-2916(973) 470-9636 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wanchu Thomas Kim Md NPPES

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

WANCHU THOMAS KIM MD (NPI 1104916378) is an individual general practice provider in Clifton, New Jersey, licensed in New Jersey (25MA02527900) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1104916378
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameWANCHU THOMAS KIMCredential: MD
Location Address1272 CLIFTON AVEClifton, NJ 07012
Mailing Address1272 Clifton AveClifton, NJ 07012 · (973) 471-2916 · Fax (973) 470-9636
Fax(973) 470-9636
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1104916378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NJ · 25MA02527900
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License 25MA02527900 (NJ)
1272 CLIFTON AVE, Clifton, NJ 07012

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
1272 CLIFTON AVE
CLIFTON, NJ 07012
Obstetrics & Gynecology (Gynecology)
1272 CLIFTON AVE
CLIFTON, NJ 07012
Obstetrics & Gynecology (Gynecology)
1272 CLIFTON AVE
CLIFTON, NJ 07012

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 Wanchu Kim's NPI number?

The NPI number for Wanchu Kim is 1104916378. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Wanchu Kim located?

Wanchu Kim practices at 1272 Clifton Ave, Clifton, NJ 07012. The listed phone number is (973) 471-2916.

What is Wanchu Kim's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Wanchu Kim was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.