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

Baron Kim

Individual provider Physical Therapist · NPI 1205495264

Baron Kim is a Physical Therapist in Private Practice in Maywood, New Jersey. Qualified in 2019, 7 years ago. Works from 2 locations and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019

Practice location Address checks out

119 E Passaic St
Maywood, NJ 07607-1342
Phone: (201) 880-7787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 45 Emerson Plz E, Emerson, NJ 07630-1885 — (516) 708-3182

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1205495264
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2019
Last updated in NPPESJune 12, 2019
Mailing address119 E Passaic St, Maywood, NJ 07607-1342

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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