MICHAEL WON JUNG KIM
NPI 1215730742
Student in an Organized Health Care Education/Training Program in Hackensack, NJ

Active since March 31, 2025
30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-2111 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Won Jung Kim NPPES

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

MICHAEL WON JUNG KIM (NPI 1215730742) is an individual student in an organized health care education/training program in Hackensack, New Jersey and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1215730742
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL WON JUNG KIM
Location Address30 PROSPECT AVEHackensack, NJ 07601-1915
Mailing Address30 Prospect AveHackensack, NJ 07601-1915
Sole ProprietorNo
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 30, 2025
NPI 1215730742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

30 PROSPECT AVE, Hackensack, NJ 07601

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601

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 Michael Kim's NPI number?

The NPI number for Michael Kim is 1215730742. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Michael Kim located?

Michael Kim practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-2111.

What is Michael Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Michael Kim was last updated on March 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.