Individual provider Active NPI

Esther Kim

  • Nurse Practitioner
  • Ridgefield, NJ
National Provider Identifier
1013662055
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01271400 Issued in NJ
Practice address
958 Banta PL Apt a
Ridgefield, NJ 07657-1758
Phone
(201) 803-3921
NPI assigned
Feb 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01271400 NJ Primary

Addresses

Primary practice location

958 Banta PL Apt a
Ridgefield, NJ 07657-1758

Mailing address

958 Banta PL Apt a
Ridgefield, NJ 07657-1758
Phone (201) 803-3921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220629001288 NJ Practitioner - Nurse Practitioner 3072993609 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vein Treatment NJ LLC 9 clinicians

Practice addresses (Care Compare)

1167 McBride Ave
Suite 4
Woodland Park, NJ 07424-2543
Phone (973) 333-4759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Wound Care of New Jersey LLC CurrentSince May 1, 2023 Accepting new patients
Vein Treatment NJ LLC CurrentSince Apr 4, 2024 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Jul 1, 2022 Accepting new patients
NJ Vein Medical LLC CurrentSince Jul 27, 2024 Accepting new patients

Locations

1117 US Highway 46
Ste 205
Clifton, NJ 07013
Phone (973) 471-0981

968 River Rd
Ste 200
Edgewater, NJ 07020
Phone (201) 224-0757

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

517 Route 1 S
Ste 1100
Iselin, NJ 08830
Phone (732) 636-7355

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

140 N Route 17
Ste 269
Paramus, NJ 07652
Phone (201) 564-7321

2253 South Ave
Ste 2
Scotch Plains, NJ 07076
Phone (908) 654-3080

576 Valley Rd
Wayne, NJ 07470
Phone (646) 853-1120

342 Hamburg Tpke
Ste 203
Wayne, NJ 07470
Phone (973) 333-4759

405 Northfield Ave
Ste 204
West Orange, NJ 07052
Phone (201) 325-6120

1167 McBride Ave
Ste 2
Woodland Park, NJ 07424

1167 McBride Ave
Ste 4
Woodland Park, NJ 07424
Phone (973) 333-4759

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1013662055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 BANTA PL APT A",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571758",
            "telephone_number": "201-803-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 BANTA PL APT A",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571758",
            "telephone_number": "201-803-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ESTHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01271400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, NJ

Sources for this page

Verify at the official NPI Registry.