MEDICARE: CLAUDIA KIM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208000000X	Pediatrics Physician	25MA08813800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023205135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA KIM MD

Provider Business Mailing Address
First Line	:	330 LAFAYETTE AVE
Second Line	:
City	:	HAWTHORNE
State	:	NJ
Zip	:	07506-2506
Country	:	US
Telephone Number	:	973-841-5112
Fax Number	:	973-826-5064

Provider Business Practice Location Address
First Line	:	330 LAFAYETTE AVE
Second Line	:
City	:	HAWTHORNE
State	:	NJ
Zip	:	07506-2506
Country	:	US
Telephone Number	:	973-841-5112
Fax Number	:	973-826-5064

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2007
Last Update Date	:	03/28/2019

Similar Medicare Providers

1053316539 — MRS. KUSUM L KANSAL RD,CDE
Practice Location Address:

332 LAFAYETTE AVE
HAWTHORNE, NJ
07506-2506

Practice Phone: 973-460-7560
Practice Fax: 862-239-6059

1831167279 — DR. LARRY M NELSON DPM
Practice Location Address:

344 LAFAYETTE AVE
HAWTHORNE, NJ
07506-2506

Practice Phone: 973-238-0660
Practice Fax: 973-238-1003

1417201021 — DR. MARIA JOSE VASENA MARENGO #39
Practice Location Address:

330 LAFAYETTE AVE
HAWTHORNE, NJ
07506-2506

Practice Phone: 973-841-5112
Practice Fax: 973-826-5064

1336525260 — HAWTHORNE PEDIATRICS, LLC
Practice Location Address:

330 LAFAYETTE AVE
HAWTHORNE, NJ
07506-2506

Practice Phone: 973-841-5112
Practice Fax: 973-826-5064

1023897139 — GABRIELA SANCHEZ PMHNP
Practice Location Address:

320 LAFAYETTE AVE
HAWTHORNE, NJ
07506-2506

Practice Phone: 973-341-9869
Practice Fax:

1467583443 — ROSEMARY HUM O.D.
Practice Location Address:

22340 HAWTHORNE BLVD
TORRANCE, CA
90505-2506

Practice Phone: 310-791-0229
Practice Fax:

Directions to “ CLAUDIA KIM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.