MR. MINJAE KIM NP
NPI 1306361795
Nurse Practitioner - Adult Health in Bronx, NY

Q: What is Minjae Kim's NPI number?

The NPI number for Minjae Kim is 1306361795. It was assigned to this individual provider in the NPPES registry on August 7, 2017. The provider is also known as Mr. Minjae Kim Np.

Q: What is Minjae Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Minjae Kim was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 07, 2017PECOS Enrolled

2015 GRAND CONCOURSE, BRONX, NY 10453(718) 299-7295(718) 299-6797 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 16, 2017, Aug 7, 2017 (3 updates tracked since 2017).

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About Mr. Minjae Kim Np NPPES

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

MR. MINJAE KIM NP (NPI 1306361795) is an individual adult health provider in Bronx, New York, licensed in New York (F308223) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306361795

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameMR. MINJAE KIMCredential: NP

Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303

Mailing Address3198 Grand ConcourseBronx, NY 10458-1000 · (718) 618-0401 · Fax (347) 479-1303

Phone(718) 299-7295

Fax(718) 299-6797

Sole ProprietorNo

Enumeration DateAugust 7, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1306361795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F308223

2015 GRAND CONCOURSE, Bronx, NY 10453

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Other Names 1

Professional Name (2)Mr. Minjae Kim Np

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Minjae Kim Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10453 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 20

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

MANA RAO M.D.

Internal Medicine (Infectious Disease)