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Active NPI 1770679409 Individual Practitioner Female Practitioner

Dr. Eunja Kim , MD

Pediatrics • Fort Lee, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Eunja Kim, MD is a registered healthcare professional specializing in Pediatrics in Fort Lee, NJ. Practice services are available at 2180 CENTER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2180 Center Ave
Ste.1

Fort Lee, NJ 070245860

Telephone 2014616677
Associated Practice Facility / Clinic
🏢 Ashley Y. Ki Dental Pc Facility NPI 1407019417

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fort Lee, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
10 Specialists

Practicing in Fort Lee, NJ (2321 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 198971-1

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NJ MA66976

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Empire Bcbs
8H6982 (NJ)
Commercial Insurance / Payer ID Oxford
P961741 (NJ)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 25, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2014

Registered at 2180 CENTER AVE, STE.1, FORT LEE, NJ 070245860 (Tel: 2014616677)

📍
Updated Business Mailing Address July 25, 2014

Registered at 16410 NORTHERN BLVD, STE 207, FLUSHING, NY 113582677 (Tel: 2013707379)

👤
Provider Name / Credentials Updated July 25, 2014

Recorded as EUNJA KIM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2014

Pediatrics (License #198971-1 in NY)

🟢
Initial NPI Registration & Enumeration October 04, 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: 1770679409
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: July 25, 2014
Sole Proprietor: Yes

Mailing Address

16410 Northern Blvd, Ste 207

Flushing, NY 113582677

Phone: 2013707379

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.