JEONG EUN KIM MA CCC-SLP
NPI 1235824624
Speech-Language Pathologist in Park Ridge, NJ

Q: What is Jeong Eun Kim's NPI number?

The NPI number for Jeong Eun Kim is 1235824624. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Q: What is Jeong Eun Kim's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeong Eun Kim was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 10, 2023

70 HAWTHORNE AVE, PARK RIDGE, NJ 07656(509) 590-9979 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeong Eun Kim Ma Ccc-slp NPPES

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

JEONG EUN KIM MA CCC-SLP (NPI 1235824624) is an individual speech-language pathologist provider in Park Ridge, New Jersey, licensed in New Jersey (41YS01069500) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1235824624

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameJEONG EUN KIMCredential: MA CCC-SLP

Location Address70 HAWTHORNE AVEPark Ridge, NJ 07656-1221

Mailing Address70 Hawthorne AvePark Ridge, NJ 07656-1221 · (509) 590-9979

Phone(509) 590-9979

Sole ProprietorYes

Enumeration DateApril 10, 2023

NPPES CertifiedApril 10, 2023

✔ NPI 1235824624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in NJ · 41YS01069500

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

70 HAWTHORNE AVE, Park Ridge, NJ 07656

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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 Jeong Eun Kim's NPI number?

The NPI number for Jeong Eun Kim is 1235824624. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Jeong Eun Kim located?

Jeong Eun Kim practices at 70 Hawthorne Ave, Park Ridge, NJ 07656. The listed phone number is (509) 590-9979.

What is Jeong Eun Kim's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jeong Eun Kim was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.