Individual provider Active NPI

Sarah Y Kim, O.D.

  • Optometrist
  • Paramus, NJ
National Provider Identifier
1306278346
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00663800 Issued in NJ
Practice address
501 N Rte 17
Paramus, NJ 07652-3000
Phone
(201) 265-9400
NPI assigned
Aug 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007972-1 NY
Optometrist 152W00000X 27OA00663800 NJ Primary

Addresses

Primary practice location

501 N Rte 17
Paramus, NJ 07652-3000

Mailing address

20 W 14TH St
New York, NY 10011-7501
Phone (212) 229-1470

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151104001189 NJ Practitioner - Optometry 9032429097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Y Kim OD LLCGroup PAC ID 2567836323, 2 clinicians

Practice addresses (Care Compare)

520 Durie Ave
Closter, NJ 07624-2008
Phone (201) 768-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007972-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Y. Kim, O.D. LLC Optometrist CurrentSince Nov 15, 2022 Accepting new patients
Debbie Kim Optometrist PastSince Feb 27, 2023 Accepting new patients

Locations

520 Durie Ave
Closter, NJ 07624
Phone (201) 768-2020

Organizations & group practices 2

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": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1306278346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117501",
            "telephone_number": "212-229-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N RTE 17",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523000",
            "telephone_number": "201-265-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SARAH",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007972-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00663800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.