Ji Hyoun Um, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ15257000 Issued in NJ

Practice address

44 Sylvan Ave Ste 2D
Englewood Cliffs, NJ 07632-2417

Phone

(201) 585-0957

NPI assigned

Jan 30, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GFFJDD/Endpoint/GFFJDD

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.

• The Radiology Group of New Jersey, LLC

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  Medicare reassignment NPD
• Monmouth Digestive Health LLC

  • Gastroenterology Physician
  • Eatontown, NJ
  • NPI 1831721232
  NPD (past)

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1124831417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 SYLVAN AVE STE 2D",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322417",
            "telephone_number": "201-585-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SYLVAN AVE STE 2D",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322417",
            "telephone_number": "201-585-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UM",
        "first_name": "JI HYOUN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15257000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Pain Care, P.a.
• Michael James Triolo, MD
• Lud Tummillo, DMD
• Nicholas L Tummillo, DMD
• Tzong-Hann Lin DDS PC
• Unc Acupuncture Clinic Inc
• USA Wild Ginseng Clinic Inc
• Vale Physical Therapy
• Kellie Vanassche
• Meliny Villegas

• Family Nurse Practitioner in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.

Verify at the official NPI Registry.