Fort Lee Internal Medicine PC
NPI 1952820623ActiveOrganization· Internal Medicine· Fort Lee, NJ
Internal Medicine in Fort Lee, New Jersey, registered in NPPES in September 2017. The authorized official on file is Jeongwon Kim, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1952820623 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 14, 2017 |
| Last updated in NPPES | Jun 20, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 25MA09382300 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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