JUNG HEE KIM
NPI 1154871770
Occupational Therapist in Hackensack, NJ
About Jung Hee Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUNG HEE KIM (NPI 1154871770) is an individual occupational therapist in Hackensack, New Jersey, licensed in New Jersey (46TR00622900) and active in the NPI registry since October 2016.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jung Hee Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jung Hee Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wayne, NJ 07470
- Reassigned Medicare billing, New Jersey enrollment
- 31 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HACKENSACK, NJ 07601
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 Jung Hee Kim's NPI number?
The NPI number for Jung Hee Kim is 1154871770. It was assigned to this individual provider in the NPPES registry on October 6, 2016.
Where is Jung Hee Kim located?
Jung Hee Kim practices at 260 Prospect Ave 366, Hackensack, NJ 07601. The listed phone number is (973) 747-8423.
What is Jung Hee Kim's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Jung Hee Kim enrolled in Medicare?
Yes. Jung Hee Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jung Hee Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jung Hee Kim reassigns Medicare benefits to Excellent Homecare Of Nj LLC (Wayne, 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 Jung Hee Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jung Hee Kim was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.