Active NPI
Hyunah Melanie Kim, BSN, MSN, FNP
- Nurse Practitioner
- Palisades Park, NJ
National Provider Identifier
1912590274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ01281900
- Practice address
- 466 Lincoln Street, Unit a
Unit a
Palisades Park, NJ 07650-0765 - Phone
- (865) 621-4424
- NPI assigned
- Feb 18, 2021
- Last updated
- May 5, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ01281900 | NJ | Primary |
| Medical-Surgical Registered Nurse | 163WM0705X | 26NR16621500 | NJ |
Addresses
Primary practice location
466 Lincoln Street, Unit a
Unit a
Palisades Park, NJ 07650-0765
Mailing address
466 Lincoln Street, Unit a
Unit a
Palisades Park, NJ 07650
Phone (865) 621-4424
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)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR16621500 | NJ | MD | Medical-Surgical Registered Nurse |
| 26NJ01281900 | NJ | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1912590274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "466 LINCOLN STREET, UNIT A",
"address_2": "UNIT A",
"city": "PALISADES PARK",
"state": "NJ",
"postal_code": "07650",
"telephone_number": "865-621-4424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "466 LINCOLN STREET, UNIT A",
"address_2": "UNIT A",
"city": "PALISADES PARK",
"state": "NJ",
"postal_code": "076500765",
"telephone_number": "865-621-4424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HYUNAH",
"middle_name": "MELANIE",
"name_prefix": "Ms.",
"credential": "BSN, MSN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-18",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ01281900",
"primary": true
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "NJ",
"license": "26NR16621500",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palisades Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.