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

Dr. Chang Nam Kim, MD

Individual provider Psychiatry Physician · NPI 1063516458

Dr. Chang Nam Kim, MD is a Psychiatry in Cedar Grove, New Jersey. Qualified in 1969, 57 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
57
Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

22 Woodstone Dr
Cedar Grove, NJ 07009-1940
Phone: (973) 773-9228
Fax: (973) 857-3123
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 25MA03826200 (NJ)

Record details

NPI number1063516458
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 7, 2006
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1969 (57 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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