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

Jeongwon Kim, MD

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1831199199

Jeongwon Kim, MD is an Internal Medicine in Fort Lee, New Jersey. Qualified in 1997, 29 years ago. Works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut and New York.

Years since qualifying
29
Licensed in
CT, NY
In the registry since
2005
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

1608 Lemoine Ave Ste 206
Fort Lee, NJ 07024-5622
Phone: (917) 301-5821
Show map & directions

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

Additional practice locations (2)

  • 1 Cellini Pl Ste 102, West Haven, CT 06516-1666 — (203) 931-2370
  • 6200 Beach Channel Dr, Arverne, NY 11692-1409 — (718) 945-7150

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 230641 (NY)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence 42398 (CT)

Record details

NPI number1831199199
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2005
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023
Mailing address1608 Lemoine Ave Ste 206, Fort Lee, NJ 07024-5622

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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