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INNA KIM NP
NPI 1518403179
Nurse Practitioner - Family in Englewood, NJ

Active since January 06, 2017
200 GRAND AVE STE 201, ENGLEWOOD, NJ 07631(201) 944-3800 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 26, 2023, Feb 21, 2022, Jan 24, 2017 and 1 more (4 updates tracked since 2017).

About Inna Kim Np NPPES

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

INNA KIM NP (NPI 1518403179) is an individual family provider in Englewood, New Jersey, licensed in New Jersey (26NJ14855000) and active in the NPI registry since January 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1518403179
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameINNA KIMCredential: NP
Location Address200 GRAND AVE STE 201Englewood, NJ 07631-4363
Mailing Address200 Grand Ave Ste 201Englewood, NJ 07631-4363 · (201) 944-3800
Phone(201) 944-3800
Sole ProprietorNo
Enumeration DateJanuary 6, 2017
Last NPPES UpdateJuly 26, 20234 updates tracked since enumeration
NPPES CertifiedApril 22, 2023
✔ NPI 1518403179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NJ · 26NJ14855000✔ Licensed in NY · 341140
200 GRAND AVE STE 201, Englewood, NJ 07631
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Secondary Practice Locations 2

Location 116 W 32nd St Ste 907New York, NY 10001-0990 · Phone (212) 255-3903
Location 2243 Chestnut St Ste 3Newark, NJ 07105-6501 · Phone (973) 522-0300

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.

BORAM SONG
Nurse Practitioner (Family)
200 GRAND AVE STE 201
ENGLEWOOD, NJ 07631
Bergen County (201) 944-3800
SANDRA ZAVALA NP
Nurse Practitioner (Family)
200 GRAND AVE STE 201
ENGLEWOOD, NJ 07631
Bergen County (201) 944-3800
SON DERMATOLOGY, PC
Dermatology
200 GRAND AVE STE 201
ENGLEWOOD, NJ 07631
Bergen County (201) 944-3800
SELIN PARK FNP
Nurse Practitioner
200 GRAND AVE STE 201
ENGLEWOOD, NJ 07631
Bergen County (201) 944-3800

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 Inna Kim's NPI number?

The NPI number for Inna Kim is 1518403179. It was assigned to this individual provider in the NPPES registry on January 6, 2017.

Where is Inna Kim located?

Inna Kim practices at 200 Grand Ave Ste 201, Englewood, NJ 07631. The listed phone number is (201) 944-3800.

What is Inna Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Inna Kim was last updated on July 26, 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.