Individual provider Active NPI

Yoon Hee Kim

  • Acute Care Nurse Practitioner
  • Englewood, NJ
National Provider Identifier
1184470098
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ14962500 Issued in NJ
Practice address
350 Engle St
Englewood, NJ 07631-1898
Phone
(201) 894-3030
NPI assigned
Apr 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ14962500 NJ Primary

Addresses

Primary practice location

350 Engle St
Englewood, NJ 07631-1898

Mailing address

1070 River Rd Apt 407
New Milford, NJ 07646-3136
Phone (516) 433-3282

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
I20240920003602 NJ Practitioner - Nurse Practitioner 4486195179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

350 Engle St
Englewood, NJ 07631-1808
Phone (201) 894-3158

420 Grand Ave
Suite 101
Englewood, NJ 07631-4141
Phone (201) 569-7044

Hospital & facility affiliations

  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ14962500NJMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Jul 9, 2024 Accepting new patients
Allied Digestive Health, LLC CurrentSince May 1, 2025 Accepting new patients
The Gastroenterology Group of Northern New Jersey,LLC Past Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients

Locations

420 Grand Ave
Ste 101
Englewood, NJ 07631
Phone (201) 569-7044

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

140 Sylvan Ave
Ste 101A
Englewood Cliffs, NJ 07632
Phone (201) 945-6564

270 Sylvan Ave
Ste 1160
Englewood Cliffs, NJ 07632
Phone (201) 408-5505

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

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.

Hospital & facility affiliations 1

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": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1184470098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 RIVER RD APT 407",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076463136",
            "telephone_number": "516-433-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311898",
            "telephone_number": "201-894-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOON HEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ14962500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.