Sookhee Kim, | |
91 Main St, Paterson, NJ 07505-1026 | |
(973) 523-4000 | |
Not Available |
Full Name | Sookhee Kim |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 91 Main St, Paterson, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093100539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 26NJ00436600 (New Jersey) | Primary |
Entity Name | Longevity Clinical Ltc Associates Of New Jersey |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376114322 PECOS PAC ID: 8820496540 Enrollment ID: O20211012000002 |
Mailing Address | Practice Location Address |
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Sookhee Kim, 606 Broadway, Paterson, NJ 07514-1916 Ph: (973) 689-3081 | Sookhee Kim, 91 Main St, Paterson, NJ 07505-1026 Ph: (973) 523-4000 |
Susan Mugalu, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-0000 | |
Diane E Mcclure, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2555 Fax: 973-754-2567 | |
Cynthia Dayrit -demetillo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1040 Main St, Paterson, NJ 07503 Phone: 973-782-6615 Fax: 973-782-6618 | |
Mrs. Kathleen Ann Connolly, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 393 Main St, Paterson, NJ 07501 Phone: 973-523-6220 Fax: 973-825-7201 | |
Mr. Michael Pasquale, MSN, RN, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-3857 | |
Nidia Ortega, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 416 Park Ave, Paterson, NJ 07504 Phone: 973-684-8138 Fax: 973-684-0032 | |
Kassidy Katona, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 680 Broadway Ste 104, Paterson, NJ 07514 Phone: 973-239-9400 |