Dr. Melanie Yonmi Kim
Endodontist
968 River Rd Ste 100
Edgewater
, New Jersey 07020-2237
Dr. Melanie Yonmi Kim
Endodontist
968 River Rd Ste 100
Edgewater
, New Jersey 07020-2237
(201) 699-0565
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Melanie Yonmi Kim
- 968 River Rd Ste 100
- Edgewater, NJ
- Zip : 07020-2237
- Phone : (201) 699-0565
Second Address
- Dr. Melanie Yonmi Kim
- 968 River Rd Ste 100
- Edgewater, NJ
- Zip : 07020-2237
- Phone : (201) 699-0565
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Is Dr. Melanie Yonmi Kim a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223E0200X | Endodontist | 049248 | NY |
| Y | 1223E0200X | Endodontist | 22DI02168500 | NJ |
National Provider Identifier
| NPI | 1114135076 |
|---|---|
| Provider Name | Dr. Melanie Yonmi Kim |
| First Address | Edgewater, NJ 07020-2237 |
| Second Address | Edgewater, NJ 07020-2237 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/05/2007 |
| Last Update Date | 01/12/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.