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

Ellen J Kim, MD

Individual provider Dermatology Physician · NPI 1538186085

Ellen J Kim, MD is a Dermatology in Philadelphia, Pennsylvania. Qualified in 1996, 30 years ago. Practices with Clinical Health Care Associates of New Jersey PC, a 789-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and Pennsylvania.

Years since qualifying
30
Licensed in
NJ, PA
In the registry since
2006
Specialties on file
2
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

3400 Civic Center Blvd 1-330S Perelman Ctr
Philadelphia, PA 19104-4206
Phone: (215) 662-2737
Fax: (215) 615-3424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3400 Spruce St, Philadelphia, PA 19104 — (215) 662-2737

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD420475 (PA)
Dermatology Physician Taxonomy 207N00000X · Licence 25MA11711000 (NJ)

Record details

NPI number1538186085
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Clinical Health Care Associates Of New Jersey Pc — 789 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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