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FORT LEE INTERNAL MEDICINE PC
NPI 1952820623
Internal Medicine in Fort Lee, NJ

Active since September 14, 2017CLIA 31D2138450 · Waiver
1608 LEMOINE AVE STE 206, FORT LEE, NJ 07024(917) 301-5821 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2018, Sep 14, 2017 (2 updates tracked since 2017).

About Fort Lee Internal Medicine Pc NPPES

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

FORT LEE INTERNAL MEDICINE PC (NPI 1952820623) is a healthcare organization registered as an internal medicine in Fort Lee, New Jersey and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through October 17, 2027 and lists Jeongwon Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1952820623
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFORT LEE INTERNAL MEDICINE PC
Location Address1608 LEMOINE AVE STE 206Fort Lee, NJ 07024-5622
Mailing Address279 Tremont AveFort Lee, NJ 07024-5232
Phone(917) 301-5821
Organization SubpartNo
Authorized OfficialJeongwon KimOwner · (917) 301-5821
Enumeration DateSeptember 14, 2017
Last NPPES UpdateJune 20, 20182 updates tracked since enumeration
✔ NPI 1952820623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA09382300
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1608 LEMOINE AVE STE 206, Fort Lee, NJ 07024
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2138450

Fortlee Internal Medicine PC · Fort Lee, NJ
Active · expires Oct 17, 2027
CLIA Number31D2138450
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorJeongwon Kim
Laboratory Phone(917) 301-5821
Laboratory LocationFortlee Internal Medicine PC1608 Lemoine Ave, Ste 206, Fort Lee, NJ 07024
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JEONGWON KIM M.D.
Internal Medicine (Infectious Disease)
1608 LEMOINE AVE STE 206
FORT LEE, NJ 07024
Bergen County (917) 301-5821

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 Fort Lee Internal Medicine PC's NPI number?

The NPI number for Fort Lee Internal Medicine PC is 1952820623. It was assigned to this organization in the NPPES registry on September 14, 2017.

Where is Fort Lee Internal Medicine PC located?

Fort Lee Internal Medicine PC is located at 1608 Lemoine Ave Ste 206, Fort Lee, NJ 07024. The listed phone number is (917) 301-5821.

What is Fort Lee Internal Medicine PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Fort Lee Internal Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2138450) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fort Lee Internal Medicine PC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Fort Lee Internal Medicine PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fort Lee Internal Medicine PC was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.