NPIMap

Individual provider Active NPI

Christi Young-Ah Kim, MD

  • Medical Oncology Physician
  • North Bergen, NJ
National Provider Identifier
1053475673
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
25MA12290200 Issued in NJ
Practice address
7650 River Road
2ND Floor
North Bergen, NJ 07047-6526
Phone
(201) 464-0008
Fax
(860) 271-4947
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 69562 CT
Medical Oncology Physician 207RX0202X 2822966 NY
Medical Oncology Physician 207RX0202X 25MA12290200 NJ Primary

Addresses

Primary practice location

7650 River Road
2ND Floor
North Bergen, NJ 07047-6526

Mailing address

500 Frank W Burr Blvd
St 560 Mailbox #29
Teaneck, NJ 07666-6804
Phone (201) 510-0910

Other practice location 1

326 Washington St Ste Apg 01
Norwich, CT 06360-2740
Phone (860) 425-5850

Other identifiers 13

IdentifierTypeStateIssuer
P01040768OtherNYRR MEDICARE
02822966MedicaidNY
10053770301OtherNYUNITEDHEALTHCARE COMMUNITY PLAN
120306000078OtherNYFIDELIS
7466892OtherNYAETNA
P4501305OtherNYOXFORD
1003535POtherNYHIP
WEZ3504051OtherNYGHI
24232801OtherNYSUFFOLK HEALTH PLAN
3079995OtherNYCIGNA
522CJ2OtherNYBLUE SHIELD
2417484OtherNYGHI
998725OtherNYVYTRA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211102000398 CT Practitioner - Medical Oncology 6901900885 Reassigns benefits to 3 organizations
I20240927000822 NJ Practitioner - Hematology/Oncology 6901900885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional Cancer Care Associates LLCGroup PAC ID 5294710091, 148 clinicians
The William W Backus HospitalGroup PAC ID 0749170645, 248 clinicians

Practice addresses (Care Compare)

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (844) 346-7222

326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331

Hospital & facility affiliations

  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003
  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007
  • Windham Community Memorial Hospital Hospital, Willimantic, CT, CCN 070021

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.53 of 100Reported as group
Quality
50.37
Promoting interoperability
100
Improvement activities
40
Cost
70.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA12290200NJMDMedical Oncology Physician
2822966NYMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Dec 16, 2021 Accepting new patients
Northeast Medical Group Inc CurrentSince Nov 1, 2021 Accepting new patients
Yale University CurrentSince Dec 16, 2021 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince Jul 1, 2024 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince Sep 1, 2024 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince Jul 1, 2024 Accepting new patients
The William W Backus Hospital CurrentSince Sep 1, 2025 Accepting new patients
William W Backus Hospital CurrentSince Sep 1, 2025 Accepting new patients
Regional Cancer Care Associates LLC PastSince Sep 29, 2024 Accepting new patients
The William W Backus Hospital Past Accepting new patients
Regional Cancer Care Associates LLC PastSince Sep 29, 2024 Accepting new patients

Locations

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

326 Washington St
Ste Apg
Norwich, CT 06360
Phone (860) 425-5850

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

230 Waterford Parkway S
Waterford, CT 06385
Phone (860) 271-4360

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

7650 River Rd
Ste 200
North Bergen, NJ 07047
Phone (201) 464-0008

7650 River Rd
Fl 2
North Bergen, NJ 07047
Phone (201) 464-0008

500 Frank W Burr Blvd
Ste 560
Teaneck, NJ 07666

500 Frank W Burr Blvd
#560
Teaneck, NJ 07666

Organizations & group practices 12

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1053475673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FRANK W BURR BLVD",
            "address_2": "ST 560 MAILBOX #29",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666804",
            "telephone_number": "201-510-0910",
            "fax_number": "201-621-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 RIVER ROAD",
            "address_2": "2ND FLOOR",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476526",
            "telephone_number": "201-464-0008",
            "fax_number": "860-271-4947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 Washington St Ste Apg 01",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063602740",
            "country_code": "US",
            "telephone_number": "860-425-5850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHRISTI",
        "middle_name": "YOUNG-AH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CT",
            "license": "69562",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "2822966",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NJ",
            "license": "25MA12290200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01040768",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02822966",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE COMMUNITY PLAN",
            "identifier": "10053770301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "120306000078",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7466892",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P4501305",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "1003535P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "WEZ3504051",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUFFOLK HEALTH PLAN",
            "identifier": "24232801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3079995",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "522CJ2",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2417484",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "998725",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.