Active NPI
Yumi Kim, MD
- Hematology & Oncology Physician
- Somerset, NJ
National Provider Identifier
1659383669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 25MA07778100
- Practice address
- 107 Cedar Grove LN
Suite 101
Somerset, NJ 08873-4719 - Phone
- (732) 356-8300
- Fax
- (732) 469-7523
- NPI assigned
- Aug 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 25MA07778100 | NJ | Primary |
Addresses
Primary practice location
107 Cedar Grove LN
Suite 101
Somerset, NJ 08873-4719
Mailing address
39 Sycamore Avenue
Little Silver, NJ 07739
Phone (732) 576-8610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0073814 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- New York Medical College, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 S Ave
Suite 206And207
Staten Island, NY 10314-3779
Phone (718) 987-9777
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Hematology & Oncology | Current | Accepting new patients |
Locations
11 Ralph Pl
Ste 201
Staten Island, NY 10304
Phone (718) 556-6565
1441 South Ave
Ste 206207
Staten Island, NY 10314
Phone (718) 987-9777
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- ykim65831@northwell.direct-ci.com
- yumi.kim@aly.ikm.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mt Sinai Doctors Staten Island Medicine
- Hematology & Oncology Physician
- Staten Island, NY
- NPI 1457867707
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1740389154
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659383669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 SYCAMORE AVENUE",
"city": "LITTLE SILVER",
"state": "NJ",
"postal_code": "07739",
"telephone_number": "732-576-8610",
"fax_number": "732-576-8823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CEDAR GROVE LN",
"address_2": "SUITE 101",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088734719",
"telephone_number": "732-356-8300",
"fax_number": "732-469-7523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YUMI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NJ",
"license": "25MA07778100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0073814",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.