Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nj Rehab Pain Clinic & Podiatry PC

Organization Podiatrist · NPI 1316390172

Nj Rehab Pain Clinic & Podiatry PC is a Podiatrist in Ridgefield, New Jersey. Licensed in New Jersey. Registered with an NPI since 2016.

Licensed in
NJ
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

845 Broad Ave
Ridgefield, NJ 07657-1002
Phone: (201) 390-3730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 25MD00301600 (NJ)

Record details

NPI number1316390172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kwangsu Kim — President · (718) 229-9200
NPI enumeratedJuly 18, 2016
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address845 Broad Ave, Ridgefield, NJ 07657-1055

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