JANE KIM
NPI 1164057253
Nurse Practitioner - Family in Pemberton, NJ

Q: What is Jane Kim's NPI number?

The NPI number for Jane Kim is 1164057253. It was assigned to this individual provider in the NPPES registry on March 9, 2020.

Q: What is Jane Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jane Kim was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 09, 2020PECOS EnrolledAccepts Medicare Assignment

600 PEMBERTON BROWNS MILLS RD, PEMBERTON, NJ 08068(609) 894-1100(609) 894-1110 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2026, Mar 11, 2025, Sep 1, 2020 and 2 more (5 updates tracked since 2020).

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About Jane Kim NPPES

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

JANE KIM (NPI 1164057253) is an individual family provider in Pemberton, New Jersey, licensed in New Jersey (26NJ01354500) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Burlington, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1164057253

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJANE KIM

Location Address600 PEMBERTON BROWNS MILLS RDPemberton, NJ 08068-1537

Mailing AddressPo Box 1309Marlton, NJ 08053-6309 · (609) 567-0200

Phone(609) 894-1100

Fax(609) 894-1110

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 9, 2020

Last NPPES UpdateMarch 4, 20265 updates tracked since enumeration

NPPES CertifiedMarch 4, 2026

✔ NPI 1164057253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in NJ · 26NJ01354500✔ Licensed in NY · 346001

600 PEMBERTON BROWNS MILLS RD, Pemberton, NJ 08068

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Secondary Practice Location 1

Location 1651 High StBurlington, NJ 08016-2737 · Phone (609) 386-0775 · Fax (609) 386-4372

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

Jane 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 ID8820417215

PECOS Enrollment IDI20201005001414, I20230302003102

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08068 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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 9

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

SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))