John Kim MD Med & Geriatrics, LLC
NPI 1891011854ActiveOrganization· Internal Medicine· Fort Lee, NJ
Internal Medicine in Fort Lee, New Jersey, registered in NPPES in April 2010. The authorized official on file is Soon Kim, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1891011854 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 15, 2010 |
| Last updated in NPPES | Mar 28, 2023 |
| Certified by provider | Mar 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Internal Medicine, Geriatric Medicine | 207RG0300X | 25MA06862000 | NJ |
| Internal Medicine, Geriatric Medicine | 207RG0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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