MEDICARE: SOPHIA CHO HEE KIM

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	363LA2200X	Adult Health Nurse Practitioner	26NJ15585600	NJ

General Provider Information

NPI Number	:	1437083359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOPHIA CHO HEE KIM

Provider Business Mailing Address
First Line	:	223 E PALISADES BLVD FL 2
Second Line	:
City	:	PALISADES PARK
State	:	NJ
Zip	:	07650-2209
Country	:	US
Telephone Number	:	201-705-7485
Fax Number	:

Provider Business Practice Location Address
First Line	:	44 SYLVAN AVE STE 2D
Second Line	:
City	:	ENGLEWOOD CLIFFS
State	:	NJ
Zip	:	07632-2417
Country	:	US
Telephone Number	:	201-585-0957
Fax Number	:

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

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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Directions to “ SOPHIA CHO HEE KIM ” Practice Location

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