1. Home
  2. Directory
  3. New Jersey
  4. Newark
  5. Nurse Practitioner
  6. NPI Profile

HYOEUN KIM
NPI 1124650387
Nurse Practitioner - Primary Care in Newark, NJ

Active since February 06, 2020PECOS EnrolledAccepts Medicare Assignment
150 BERGEN ST, NEWARK, NJ 07103(973) 972-4300 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Hyoeun Kim NPPES

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

HYOEUN KIM (NPI 1124650387) is an individual primary care provider in Newark, New Jersey, licensed in New Jersey (26NJ00936100) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with The University Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124650387
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameHYOEUN KIM
Location Address150 BERGEN STNewark, NJ 07103-2496
Mailing Address402 Livingston CtEdgewater, NJ 07020-1639 · (201) 679-3682
Phone(973) 972-4300
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 6, 2020
✔ NPI 1124650387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NJ · 26NJ00936100
150 BERGEN ST, Newark, NJ 07103
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hyoeun Kim 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 ID1456778117
PECOS Enrollment IDI20200827000308
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.

Medicare Billing Reassignment

Medicare enrollment records show Hyoeun Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Hospital
Same address
Acute Care
150 BERGEN STREET, DEPTPARTMENT OF EMERGENCY ROOM M-219
Newark, NJ 07101
  • Reassigned Medicare billing, New Jersey enrollment
  • Also billed through NPI 1457525156 (New Jersey)
  • 55 clinicians in this Medicare group
NPI 1023266962 (973) 972-1193

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ARIEL LIPPA, LPC, LCADC, NCC.
Counselor (Professional)
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
GABRIEL HANNA
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (201) 397-5249
ADRIANA NOEMI GONZALEZ MD
Emergency Medicine
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
DR. SAFIA ANSARI DO
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
MERRY ZHAI MD
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
HEATHER WANG
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
KOPAL BANSAL MD
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300
ADRIENNE-VYOLET BALK MD
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4300

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 Hyoeun Kim's NPI number?

The NPI number for Hyoeun Kim is 1124650387. It was assigned to this individual provider in the NPPES registry on February 6, 2020.

Where is Hyoeun Kim located?

Hyoeun Kim practices at 150 Bergen St, Newark, NJ 07103. The listed phone number is (973) 972-4300.

What is Hyoeun Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Hyoeun Kim enrolled in Medicare?

Yes. Hyoeun 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.

Which organization bills Medicare for Hyoeun Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hyoeun Kim reassigns Medicare benefits to University Hospital (Newark, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hyoeun Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Hyoeun Kim affiliated with any hospitals?

According to CMS data, Hyoeun Kim is affiliated with The University Hospital.

When was this NPI record last updated?

The NPPES record for Hyoeun Kim was last updated on February 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.