Provider Demographics
NPI:1053475673
Name:KIM, CHRISTI YOUNG-AH (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTI
Middle Name:YOUNG-AH
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:500 FRANK W BURR BLVD
Mailing Address - Street 2:ST 560 MAILBOX #29
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-6804
Mailing Address - Country:US
Mailing Address - Phone:201-510-0910
Mailing Address - Fax:201-621-6931
Practice Address - Street 1:7650 RIVER ROAD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-6526
Practice Address - Country:US
Practice Address - Phone:201-464-0008
Practice Address - Fax:860-271-4947
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2024-09-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT69562207RX0202X
NY2822966207RX0202X
NJ25MA12290200207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2417484OtherGHI
NY24232801OtherSUFFOLK HEALTH PLAN
NY1003535POtherHIP
NY522CJ2OtherBLUE SHIELD
NY10053770301OtherUNITEDHEALTHCARE COMMUNITY PLAN
NY120306000078OtherFIDELIS
NYP4501305OtherOXFORD
NYP01040768OtherRR MEDICARE
NYWEZ3504051OtherGHI
NY998725OtherVYTRA
NY3079995OtherCIGNA
NY7466892OtherAETNA
NY02822966Medicaid