| Ann Kim Md Pc | |
|
44 Sylvan Ave Suite 2d Englewood Cliffs NJ 07632-2426 | |
| (201) 585-0957 | |
| (201) 585-0944 |
| Full Name | Ann Kim Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 44 Sylvan Ave, Englewood Cliffs, New Jersey |
| Authorized Official Name and Position | Ann D Kim (PRESIDENT) |
| Authorized Official Contact | 2019612808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Kim Md Pc 132 Anderson Ave Closter NJ 07624-2330 Ph: (201) 585-0957 | Ann Kim Md Pc 44 Sylvan Ave Suite 2d Englewood Cliffs NJ 07632-2426 Ph: (201) 585-0957 |
| NPI Number | 1235550716 |
|---|---|
| Provider Enumeration Date | 12/30/2013 |
| Last Update Date | 12/30/2013 |
| Medicare PECOS PAC ID | 2466675830 |
|---|---|
| Medicare Enrollment ID | O20140604000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235550716 | NPI | - | NPPES |
| 0174653 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New Jersey) | Primary |
| Provider Name | Ann D Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588829352 PECOS PAC ID: 3072688191 Enrollment ID: I20080823000048 |
| Provider Name | Jenny Jee Young Hong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215342696 PECOS PAC ID: 4385960905 Enrollment ID: I20150225002314 |
| Provider Name | Raquel Marie Mahidashti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972573160 PECOS PAC ID: 8820088511 Enrollment ID: I20160817001608 |
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