Active NPI
Amy Hyemee Kim, DNP
- Family Nurse Practitioner
- Fort Lee, NJ
National Provider Identifier
1841994241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ01446400
- Practice address
- 5 Horizon Rd Apt 1203
Fort Lee, NJ 07024-6636 - Phone
- (201) 562-6578
- NPI assigned
- Mar 29, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ01446400 | NJ | Primary |
Addresses
Primary practice location
5 Horizon Rd Apt 1203
Fort Lee, NJ 07024-6636
Mailing address
106 River Dr S Ste 2
Jersey City, NJ 07310-2315
Phone (814) 830-3581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01446400 | NJ | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1841994241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 RIVER DR S STE 2",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073102315",
"telephone_number": "814-830-3581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 HORIZON RD APT 1203",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246636",
"telephone_number": "201-562-6578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "AMY",
"middle_name": "HYEMEE",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-29",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ01446400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.