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DR. CHANG NAM KIM M.D.
NPI 1063516458
Psychiatry & Neurology - Psychiatry in Cedar Grove, NJ

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
22 WOODSTONE DR, CEDAR GROVE, NJ 07009(973) 773-9228(973) 857-3123 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2025, Jun 22, 2024 (2 updates tracked since 2024).

About Dr. Chang Nam Kim M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHANG NAM KIM M.D. (NPI 1063516458) is an individual psychiatry provider in Cedar Grove, New Jersey, licensed in New Jersey (25MA03826200) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1969).

NPPES Registry Identity

NPI1063516458
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. CHANG NAM KIMCredential: M.D.
Location Address22 WOODSTONE DRCedar Grove, NJ 07009-1940
Mailing Address22 Woodstone DrCedar Grove, NJ 07009-1940 · (973) 773-9228 · Fax (973) 773-3029
Phone(973) 773-9228
Fax(973) 857-3123
Sole ProprietorYes
Medical School CMSOtherGraduated 1969
Enumeration DateSeptember 7, 2006
Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1063516458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NJ · 25MA03826200
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
22 WOODSTONE DR, Cedar Grove, NJ 07009
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Other Identifiers 1

OtherA62478NJ · Upin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Chang Nam Kim M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698958387
PECOS Enrollment IDI20110317000321
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
330 services61 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
330 services61 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
165 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07009 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chang Kim's NPI number?

The NPI number for Chang Kim is 1063516458. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Chang Kim located?

Chang Kim practices at 22 Woodstone Dr, Cedar Grove, NJ 07009. The listed phone number is (973) 773-9228.

What is Chang Kim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Chang Kim enrolled in Medicare?

Yes. Chang Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Chang Kim was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.