Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JUNG TAE KIM, P.T.
DeactivatedMR. JUNG TAE KIM, P.T. is a Physical Therapy Assistant healthcare provider located in LINDEN, New Jersey. NPI 1821127192 is deactivated in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LINDEN, NJ
This NPI has been deactivated.
The record was deactivated on February 27, 2017.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1821127192
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 5, 2007 (9.9835616438356 yrs)
- Last Updated
- Mar 1, 2017
- Deactivated
- Feb 27, 2017
- License
-
40QA00148400 (NJ)
Practice Information
- Address
-
210 WEST ST. GEORGES AVELINDEN, NJ, 07036Browse NJ providers · Browse ZIP 07036
- Phone
- 9085871624
- Fax
- 9085871628
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LINDEN, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. SHAWN A. DAVIS | DPT | 1265429393 |
| MRS. MARIA RICHELLE SORIANO DE JESUS | P.T. | 1245205954 |
| MRS. GINA LU | P.T. | 1639101223 |
| MICHAEL BOULOS | — | 1558471730 |
| MR. MONSEUR F NESHEIWAT | PT | 1306904149 |
| MS. MARCIA ISABEL SALGADO | PT | 1821150483 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.