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

Ki Won Kim, MD

Individual provider Surgery Physician · NPI 1700224417

Ki Won Kim, MD is a General Surgery in Berkeley Heights, New Jersey. Graduated from Icahn School of Medicine at Mount Sinai in 2013, 13 years ago. Practices with Medical Associates of Englewood PC, a 540-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
13
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
NJ
In the registry since
2013
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

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone: (908) 277-8950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 25MA10665900 (NJ)

Record details

NPI number1700224417
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2013
Last updated in NPPESJanuary 8, 2020
Certification dateJanuary 8, 2020
Mailing address1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2013 (13 years in practice)
Group practice Medical Associates Of Englewood Pc — 540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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