Provider Demographics
NPI:1508092230
Name:KIM, JOY MEEJIN
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:MEEJIN
Last Name:KIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 EASTON AVE
Mailing Address - Street 2:6C
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1974
Mailing Address - Country:US
Mailing Address - Phone:973-568-0214
Mailing Address - Fax:
Practice Address - Street 1:2050 STATE ROUTE 27
Practice Address - Street 2:SUITE # 101
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1380
Practice Address - Country:US
Practice Address - Phone:732-821-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-09
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program