EDWARD TAE KIM
NPI 1457567836
General Practice in Runnemede, NJ

Active since May 15, 2007
658 N BLACK HORSE PK, RUNNEMEDE, NJ 08078(856) 939-3405(856) 939-0104 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edward Tae Kim NPPES

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

EDWARD TAE KIM (NPI 1457567836) is an individual general practice provider in Runnemede, New Jersey, licensed in New Jersey (11227) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1457567836
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameEDWARD TAE KIM
Location Address658 N BLACK HORSE PKRunnemede, NJ 08078
Mailing Address658 N Black Horse PkRunnemede, NJ 08078 · (856) 939-3405 · Fax (856) 939-0104
Fax(856) 939-0104
Sole ProprietorNo
Enumeration DateMay 15, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1457567836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NJ · 11227
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
658 N BLACK HORSE PK, Runnemede, NJ 08078

Other Names 1

Professional Name (2)Edward Tae Kim Dmd

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 Edward Kim's NPI number?

The NPI number for Edward Kim is 1457567836. It was assigned to this individual provider in the NPPES registry on May 15, 2007. The provider is also known as Edward Tae Kim Dmd.

Where is Edward Kim located?

Edward Kim practices at 658 N Black Horse Pk, Runnemede, NJ 08078. The listed phone number is (856) 939-3405.

What is Edward 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 Edward Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.