Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104916378 Individual Practitioner Male Practitioner

Dr. Wanchu Thomas Kim , MD

General Practice • Clifton, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Wanchu Kim, MD is a registered healthcare professional specializing in General Practice in Clifton, NJ. Practice services are available at 1272 CLIFTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1272 Clifton Ave

Clifton, NJ 07012

Telephone 9734712916
Fax 9734709636
Associated Practice Facility / Clinic
🏢 Anthony Anzalone Md Llc Facility NPI 1629367560

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Clifton, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Clifton, NJ (269 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NJ 25MA02527900

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Surgery

NUCC Taxonomy Code: 208600000X

State License NJ 25MA02527900

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Sofia Carram , DDS

Dentist - General Practice

NPI 1033298831

Doctor of Dental Surgery

Dr. Anthony Anzalone , MD

Obstetrics & Gynecology - Gynecology

NPI 1124071857

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1272 CLIFTON AVE, CLIFTON, NJ 07012 (Tel: 9734712916)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1272 CLIFTON AVE, CLIFTON, NJ 07012 (Tel: 9734712916)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as WANCHU KIM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #25MA02527900 in NJ)

🟢
Initial NPI Registration & Enumeration October 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104916378
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2006
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

1272 Clifton Ave

Clifton, NJ 07012

Phone: 9734712916

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.