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

Zachary Kwongjo Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821675968

Zachary Kwongjo Kim is an Emergency Medicine in Newark, New Jersey. Graduated from University of Maryland School of Medicine in 2021, 5 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
5
Trained at
University of Maryland School of Medicine
Licensed in
NJ, NY
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Newark, NJ

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 4802 10th Ave, Brooklyn, NY 11219-2916 — (718) 283-6000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MA12179100 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence 329020 (NY)

Record details

NPI number1821675968
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 25, 2021
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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