MINJI KIM
NPI 1205647237
Nurse Practitioner - Family in New York, NY
About Minji Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINJI KIM (NPI 1205647237) is an individual family provider in New York, New York, licensed in Massachusetts (RN2344092) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Minji 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10029
NEW YORK, NY 10029
NEW YORK, NY 10029
NEW YORK, NY 10029
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 Minji Kim's NPI number?
The NPI number for Minji Kim is 1205647237. It was assigned to this individual provider in the NPPES registry on January 17, 2025.
Where is Minji Kim located?
Minji Kim practices at 1 Gustave L Levy Pl, New York, NY 10029. The listed phone number is (212) 241-6500.
What is Minji Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Minji Kim enrolled in Medicare?
Yes. Minji 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.
Is Minji Kim affiliated with any hospitals?
According to CMS data, Minji Kim is affiliated with Hospital Of Univ Of Pennsylvania.
When was this NPI record last updated?
The NPPES record for Minji Kim was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Minji Kim · NPI 1205647237
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since January 17, 2025.
## Identity
- **NPI:** 1205647237 (Entity type: Individual)
- **Enumerated:** January 17, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN2344092 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 GUSTAVE L LEVY PL, New York, NY 10029-6504
- **Phone:** (212) 241-6500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 4, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1205647237) · Data from the CMS NPPES public registry.