Active NPI
Esther Kim
- Nurse Practitioner
- Ridgefield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ01271400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Wound Care of New Jersey LLC | Current | Accepting new patients | |
| Vein Treatment NJ LLC | Current | Accepting new patients | |
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| NJ Vein Medical LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.