MS. JENNIFER Y. KIM CRNA
NPI 1326184540
Nurse Anesthetist, Certified Registered in Paterson, NJ

Q: What is Jennifer Kim's NPI number?

The NPI number for Jennifer Kim is 1326184540. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Q: What is Jennifer Kim's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Kim was last updated on March 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 January 29, 2007PECOS EnrolledAccepts Medicare Assignment

703 MAIN ST, PATERSON, NJ 07503(877) 757-7547 Get Directions Write a Review

NPPES record last updated: March 19, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Ms. Jennifer Y. Kim Crna NPPES

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

MS. JENNIFER Y. KIM CRNA (NPI 1326184540) is an individual nurse anesthetist, certified registered in Paterson, New Jersey, licensed in New Jersey (26NR06859900) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Hackensack Meridian Health, Mountainside Medical, and is a graduate of State University Of New York Downstate Medical Center (2005).

NPPES Registry Identity

NPI1326184540

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMS. JENNIFER Y. KIMCredential: CRNA

Location Address703 MAIN STPaterson, NJ 07503-2621

Mailing Address3998 Fair Ridge Dr, Ste 300Fairfax, VA 22033-2921 · (703) 295-9360 · Fax (703) 766-9725

Phone(877) 757-7547

Sole ProprietorNo

Medical School CMSState University Of New York Downstate Medical CenterGraduated 2005

Enumeration DateJanuary 29, 2007

Last NPPES UpdateMarch 19, 2015

✔ NPI 1326184540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in NJ · 26NR06859900✔ Licensed in NY · 385618

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

703 MAIN ST, Paterson, NJ 07503

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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

Ms. Jennifer Y. Kim Crna 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 ID840219044

PECOS Enrollment IDI20100624000605

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.

Medicare Billing Reassignments

Medicare enrollment records show Jennifer Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Jersey Healthcare Specialists PC

5.9 mi

Anesthesiology

30 PROSPECT AVENUE
Hackensack, NJ 07601

Reassigned Medicare billing, New Jersey enrollment
781 clinicians in this Medicare group

NPI 1174585780 (954) 939-5000

Parkway Anesthesia Associates LLC

12 mi

Anesthesiology

7600 RIVER RD
North Bergen, NJ 07047

Reassigned Medicare billing, New Jersey enrollment
464 clinicians in this Medicare group

NPI 1518319755 (732) 212-0060

Bay Anesthesia LLC

36 mi

Anesthesiology

561 CRANBURY RD
East Brunswick, NJ 08816

Reassigned Medicare billing, New Jersey enrollment
121 clinicians in this Medicare group

NPI 1063151546 (201) 847-8079

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on lower abdomen 00840

Anesthesia for a lower abdomen procedure involves medication to eliminate pain during surgery. You might be awake but relaxed and pain-free, or you may be completely unconscious. It's administered to ensure comfort and safety throughout the operation.

14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ

2/5 CMS rating

OwnershipProprietary

CMS Certification Number310054

Location1 Bay AvenueMontclair, NJ 07042 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07503 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

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.

DR. SETAREH SHAMS MD

Obstetrics & Gynecology (Obstetrics)