INNA KIM NP
NPI 1518403179
Nurse Practitioner - Family in Englewood, NJ
Active since January 06, 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
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
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518403179, enumerated as an "individual" on January 06, 2017.
The provider is located at 200 GRAND AVE STE 201 ENGLEWOOD, NJ 07631 and the phone number is (201) 944-3800.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
