Individual provider Active NPI

William J. Kim, M.D.

  • Diagnostic Radiology Physician
  • Hackensack, NJ
National Provider Identifier
1962444943
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA08101100 Issued in NJ
Practice address
30 Prospect Ave
Radiology Dept
Hackensack, NJ 07601-1914
Phone
(000) 000-0000
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA08101100 NJ Primary

Addresses

Primary practice location

30 Prospect Ave
Radiology Dept
Hackensack, NJ 07601-1914

Mailing address

130 Kinderkamack Rd Ste 200
River Edge, NJ 07661-1939
Phone (201) 488-2660

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
I20070417000629 NJ Practitioner - Diagnostic Radiology 7416990478 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers New Jersey Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Radiology Group PAGroup PAC ID 9830096361, 48 clinicians
Imaging North LLCGroup PAC ID 9133514987, 43 clinicians
New Century Imaging LLCGroup PAC ID 4082517370, 61 clinicians

Practice addresses (Care Compare)

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (201) 488-2660

5 Marine View PLZ
Suite 100
Hoboken, NJ 07030-5752
Phone (201) 488-2660

555 Kinderkamack Rd
Oradell, NJ 07649-1517
Phone (201) 488-2660

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130
  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08101100NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Imaging LLC Diagnostic Radiology CurrentSince Aug 7, 2006 Accepting new patients
Hackensack Radiology Group PA Diagnostic Radiology CurrentSince Aug 7, 2006 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 23, 2025 Accepting new patients
Imaging North LLC Diagnostic Radiology CurrentSince May 2, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 23, 2025 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC PastSince Oct 23, 2022 Accepting new patients

Locations

1 Metro Blvd
Ste 1A
Clifton, NJ 07014

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

30 S Newman St
Hackensack, NJ 07601
Phone (201) 488-1188

5 Marine View Plz
Ste 100
Hoboken, NJ 07030

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

555 Kinderkamack Rd
Oradell, NJ 07649
Phone (201) 261-2400

650 From Rd
Ste 130
Paramus, NJ 07652
Phone (551) 996-4788

130 Kinderkamack Rd
Ste 200
River Edge, NJ 07661

250 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-3000

Interoperability endpoints

  • Direct secure messaging: wkim189851@ahs.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 7

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 8

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1962444943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 KINDERKAMACK RD STE 200",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611939",
            "telephone_number": "201-488-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "address_2": "RADIOLOGY DEPT",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011914",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "WILLIAM",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA08101100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.