Individual provider Active NPI

Yoonjoo Kim, M.D.

  • Family Medicine Physician
  • Palisades Park, NJ
National Provider Identifier
1598841942
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA05730500 Issued in NJ
Practice address
232 Broad Ave
Suite 208
Palisades Park, NJ 07650-1569
Phone
(201) 346-0999
Fax
(201) 346-0118
NPI assigned
Oct 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA05730500 NJ Primary

Addresses

Primary practice location

232 Broad Ave
Suite 208
Palisades Park, NJ 07650-1569

Mailing address

232 Broad Ave
Suite 208
Palisades Park, NJ 07650-1569
Phone (201) 346-0999

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
I20050526000697 NJ Practitioner - Family Practice 1456393776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson MD GroupGroup PAC ID 6103240478, 110 clinicians

Practice addresses (Care Compare)

1625 Anderson Ave
Suite 204
Fort Lee, NJ 07024-2748
Phone (201) 224-0011

443 Northfield Ave
Suite 301
West Orange, NJ 07052-3022
Phone (973) 731-0203

784 Grand Ave
Suite 201
Ridgefield, NJ 07657-1043
Phone (201) 346-0999

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05730500NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson MD Group Family Medicine CurrentSince May 7, 2020 Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients

Locations

1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011

232 Broad Ave
Ste 208
Palisades Park, NJ 07650
Phone (201) 346-0999

784 Grand Ave
Ste 201
Ridgefield, NJ 07657
Phone (201) 346-0999

443 Northfield Ave
West Orange, NJ 07052
Phone (973) 324-0103

Interoperability endpoints

  • Direct secure messaging: yoonjookim@hmapa.allscriptsdirect.net
  • Direct secure messaging: ykim@3497.mdlanddirect.com

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 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": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598841942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 BROAD AVE",
            "address_2": "SUITE 208",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501569",
            "telephone_number": "201-346-0999",
            "fax_number": "201-346-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 BROAD AVE",
            "address_2": "SUITE 208",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501569",
            "telephone_number": "201-346-0999",
            "fax_number": "201-346-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOONJOO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA05730500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palisades Park, NJ

Sources for this page

Verify at the official NPI Registry.