Individual provider Active NPI

Daryl K Kim, MD

  • Internal Medicine Physician
  • Columbia, NJ
National Provider Identifier
1730175431
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06606900 Issued in NJ
Practice address
5 Eisenhower Rd
Columbia, NJ 07832-2716
Phone
(908) 362-5360
Fax
(973) 362-8396
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06606900 NJ Primary
Pediatrics Physician 208000000X 25MA06606900 NJ

Addresses

Primary practice location

5 Eisenhower Rd
Columbia, NJ 07832-2716

Mailing address

532 Lafayette Rd
Suite 300
Sparta, NJ 07871-4411
Phone (973) 940-0423

Other identifiers 1

IdentifierTypeStateIssuer
8313601MedicaidNJ

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
I20070215000483 NJ Practitioner - Pediatric MedicinePractitioner - Internal Medicine 9234028945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Medical College of Georgia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Health Associates LLCGroup PAC ID 0840283008, 45 clinicians

Practice addresses (Care Compare)

123 Newton Sparta Rd
Newton, NJ 07860-2769
Phone (973) 579-6300

272 Route 206 N
Suite 6
Andover, NJ 07821-3949
Phone (973) 347-2273

5 Eisenhower Rd
Columbia, NJ 07832-2716
Phone (908) 362-5360

89 Sparta Ave
Sparta, NJ 07871-1777
Phone (973) 209-1550

89 Sparta Ave
Suite 100
Sparta, NJ 07871-1790
Phone (973) 729-2121

Hospital & facility affiliations

  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115
  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201

Merit-based Incentive Payment System (MIPS)

Final score
78.05 of 100Reported as apm
Quality
65.09
Promoting interoperability
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sparta Medical Associates, P.a. Internal Medicine Current Accepting new patients
DRX Paramus, LLC CurrentSince Feb 21, 2024 Accepting new patients
Premier Health Associates, LLC CurrentSince Oct 1, 2012 Accepting new patients
Premier Health Associates LLC Internal Medicine CurrentSince Oct 1, 2012 Accepting new patients
Atlantic Emergency Physician Team Pediatric Associates, P.C. Past Accepting new patients

Locations

2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333

5 Eisenhower Rd
Columbia, NJ 07832
Phone (908) 362-5360

123 Newton Sparta Rd
Newton, NJ 07860
Phone (973) 579-1000

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

475 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (856) 553-6611

532 Lafayette Rd
Ste 300
Sparta, NJ 07871
Phone (973) 940-0423

21 Lafayette Rd
Ste C
Sparta, NJ 07871
Phone (973) 729-0291

Interoperability endpoints

  • Direct secure messaging: darylkim@premiernj.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDJHBA

Organizations & group practices 5

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 5

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1730175431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 LAFAYETTE RD",
            "address_2": "SUITE 300",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078714411",
            "telephone_number": "973-940-0423",
            "fax_number": "973-940-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EISENHOWER RD",
            "city": "COLUMBIA",
            "state": "NJ",
            "postal_code": "078322716",
            "telephone_number": "908-362-5360",
            "fax_number": "973-362-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DARYL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06606900",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06606900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8313601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, NJ

Sources for this page

Verify at the official NPI Registry.