ANN KIM MD PC
NPI 1235550716
Internal Medicine in Englewood Cliffs, NJ

Active since December 30, 2013CLIA 31D2158188 · Waiver
44 SYLVAN AVE, SUITE 2D, ENGLEWOOD CLIFFS, NJ 07632(201) 585-0957(201) 585-0944 Get Directions Write a Review

NPPES record last updated: December 30, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ann Kim Md Pc NPPES

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

ANN KIM MD PC (NPI 1235550716) is a healthcare organization registered as an internal medicine in Englewood Cliffs, New Jersey and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through November 22, 2026 and lists Ann D Kim, President, as its authorized official.

NPPES Registry Identity

NPI1235550716
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameANN KIM MD PC
Location Address44 SYLVAN AVE, SUITE 2DEnglewood Cliffs, NJ 07632-2426
Mailing Address132 Anderson AveCloster, NJ 07624-2330 · (201) 585-0957 · Fax (201) 585-0944
Fax(201) 585-0944
Organization SubpartNo
Authorized OfficialAnn D KimPresident · (201) 961-2808
Enumeration DateDecember 30, 2013
✔ NPI 1235550716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
44 SYLVAN AVE, Englewood Cliffs, NJ 07632

Other Identifiers 1

Medicaid0174653NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ann Kim Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ann Kim MD PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1215342696
44 SYLVAN AVE. SUITE 2D
Englewood Cliffs, NJ 07632
(201) 585-0957
✔ PECOSSame address
Internal Medicine
NPI 1588829352
44 SYLVAN AVE 2D
Englewood Cliffs, NJ 07632
(201) 961-2808
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2158188

Ann Kim MD PC · Edgewater, NJ
Active · expires Nov 22, 2026
CLIA Number31D2158188
Laboratory TypePhysician Office
Certificate Effective DateNovember 23, 2024
Certificate Expiration DateNovember 22, 2026
Laboratory DirectorAnn Kim
Laboratory Phone(201) 961-2808
Laboratory LocationAnn Kim MD PC725 River Road # 212, Edgewater, NJ 07020
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ann Kim MD PC's NPI number?

The NPI number for Ann Kim MD PC is 1235550716. It was assigned to this organization in the NPPES registry on December 30, 2013.

Where is Ann Kim MD PC located?

Ann Kim MD PC is located at 44 Sylvan Ave Suite 2D, Englewood Cliffs, NJ 07632. The listed phone number is (201) 585-0957.

What is Ann Kim MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ann Kim MD PC enrolled in Medicare?

Yes. Ann Kim MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ann Kim MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ann Kim MD PC, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ann Kim MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2158188) is associated with this NPI, valid through November 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ann Kim MD PC was last updated on December 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.