Active NPI 1679200968 Individual Practitioner Female Practitioner

Ellen Kim

Specialist • Edison, NJ

Professional Overview & Biography Verified Profile Summary

Ellen Kim is a registered healthcare professional specializing in Specialist in Edison, NJ. Practice services are available at 10 PARSONAGE RD STE 318 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10 Parsonage Rd Ste 318

Edison, NJ 088372429

Telephone 7322041635

Associated Practice Facility / Clinic

🏢 Achieve Beyond Inc Facility NPI 1124330634

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Edison, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 40.7 Yrs

State Avg: 35.6 Yrs

Regional Practice Density

43 Specialists

Practicing in Edison, NJ (1802 Statewide)

Telehealth Adoption Rate

4.7% 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

CMS Verified: 2022-08-09

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Nygerah Taylor

Behavior Technician

NPI 1003496027

Johanie Bayard

Behavior Technician

NPI 1013482330

Larry Chin

Behavior Technician

NPI 1033880539

Richard Vento

Behavior Technician

NPI 1043101009

Delaney Trotter

Behavior Technician

NPI 1053074062

Felicia Mcknight

Behavior Technician

NPI 1053100651

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2022

Specialist

✅

NPI Profile Active August 05, 2022

NPI status registered as active in NPPES database

📍

Updated Practice Location August 05, 2022

Registered at 10 PARSONAGE RD STE 318, EDISON, NJ 088372429 (Tel: 7322041635)

📍

Updated Business Mailing Address August 05, 2022

Registered at 7000 AUSTIN ST STE 200, FOREST HILLS, NY 113754739

👤

Provider Name / Credentials Updated August 05, 2022

Recorded as ELLEN KIM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2022

Behavior Technician

🟢

Initial NPI Registration & Enumeration August 05, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1679200968

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 05, 2022

Last Update: August 09, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7000 Austin St Ste 200

Forest Hills, NY 113754739

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.