Healthcare Provider Details

I. General information

NPI: 1386577419
Provider Name (Legal Business Name): DAHEE KIM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 FROM RD STE 507
PARAMUS NJ
07652-3517
US

IV. Provider business mailing address

18 E CAMDEN ST UNIT 157
HACKENSACK NJ
07601-7548
US

V. Phone/Fax

Practice location:
  • Phone: 201-972-8250
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: