Individual provider Active NPI

Steven Eunsik Kim, M.D.

  • Nephrology Physician
  • East Brunswick, NJ
National Provider Identifier
1457435646
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MA58125 Issued in NJ
Practice address
D5 Brier Hill CT
East Brunswick, NJ 08816-3335
Phone
(732) 432-7400
Fax
(732) 432-7401
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MA58125 NJ Primary

Addresses

Primary practice location

D5 Brier Hill CT
East Brunswick, NJ 08816-3335

Mailing address

D5 Brier Hill CT
East Brunswick, NJ 08816-3335
Phone (732) 432-7400

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050322000352 NJ Practitioner - Nephrology 8224083365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Texas Medical School at San Antonio, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

D5 Brier Hill CT
East Brunswick, NJ 08816-3335
Phone (732) 432-7400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.58 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA58125NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steven E Kim M D P a Nephrology CurrentSince Jun 22, 2007 Accepting new patients
Total Renal Care Inc PastSince Dec 12, 2018 Accepting new patients

Locations

D5 Brier Hill Ct
East Brunswick, NJ 08816
Phone (732) 423-7400

31 Clyde Rd
Ste 101
Somerset, NJ 08873
Phone (732) 432-7400

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.

Hospital & facility affiliations 4

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1457435646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "D5 BRIER HILL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163335",
            "telephone_number": "732-432-7400",
            "fax_number": "732-432-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D5 BRIER HILL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163335",
            "telephone_number": "732-432-7400",
            "fax_number": "732-432-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "STEVEN",
        "middle_name": "EUNSIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA58125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.