Physician Compare National (NPI:1023206612)

HEALTHCARE PROVIDER: JOSEPHINE MYUNGHI RIM M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1023206612
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5496845125
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080425000039
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RIM
	Individual professional last name
Provider First Name	JOSEPHINE
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	PAIN MANAGEMENT
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERVENTIONAL PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERVENTIONAL PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	29 VILLAGE CT
	Group Practice or individual's line 1 address
City	HAZLET
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	077301533
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y