JAMEY KIM
NPI 1235706672
Nurse Practitioner - Family in Port Jefferson Station, NY
About Jamey Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMEY KIM (NPI 1235706672) is an individual family provider in Port Jefferson Station, New York, licensed in New York (347359) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
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 and accepts Medicare assignment
Jamey 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.
Medicare Billing Reassignment
Medicare enrollment records show Jamey Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Port Jefferson Station, NY 11776
- Reassigned Medicare billing, New York enrollment
- 636 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11776 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT JEFFERSON STATION, NY 11776
PORT JEFFERSON STATION, NY 11776
PORT JEFFERSON STATION, NY 11776
PORT JEFFERSON STATION, NY 11776
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 Jamey Kim's NPI number?
The NPI number for Jamey Kim is 1235706672. It was assigned to this individual provider in the NPPES registry on June 4, 2021.
Where is Jamey Kim located?
Jamey Kim practices at 1500 Route 112 Bldg 4, Port Jefferson Station, NY 11776. The listed phone number is (631) 751-3000.
What is Jamey Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jamey Kim enrolled in Medicare?
Yes. Jamey 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 Jamey Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jamey Kim reassigns Medicare benefits to North Shore Hematology Oncology Associates PC (Port Jefferson Station, NY). 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 Jamey 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 Jamey Kim was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jamey Kim · NPI 1235706672
Family physician in Port Jefferson Station, New York. Individual provider, active in the CMS NPPES registry since June 4, 2021.
## Identity
- **NPI:** 1235706672 (Entity type: Individual)
- **Enumerated:** June 4, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 347359 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1500 ROUTE 112 BLDG 4, Port Jefferson Station, NY 11776-8055
- **Phone:** (631) 751-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Shore Hematology Oncology Associates PC (NPI 1396794574, Port Jefferson Station, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 4, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1235706672) · Data from the CMS NPPES public registry.