Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISTEN KIM
NPI 1356114623
Social Worker - Clinical in Edgewater, NJ

Active since October 30, 2023PECOS EnrolledAccepts Medicare Assignment
725 RIVER RD, STE 32, BOX 180, EDGEWATER, NJ 07020(917) 727-1896 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 5, 2026, Oct 30, 2023 (2 updates tracked since 2023).

About Kristen Kim NPPES

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

KRISTEN KIM (NPI 1356114623) is an individual clinical provider in Edgewater, New Jersey, licensed in New Jersey (44SC06275700) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1356114623
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTEN KIM
Location Address725 RIVER RD, STE 32, BOX 180Edgewater, NJ 07020
Mailing Address725 River Rd, Ste 32, Box 180Edgewater, NJ 07020 · (917) 727-1896
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 30, 2023
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
NPI 1356114623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NJ · 44SC06275700
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
725 RIVER RD, STE 32, Edgewater, NJ 07020

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

Kristen 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.

PECOS PAC ID244677342
PECOS Enrollment IDI20240326000013
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 07020 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
$0.00 typical visit price
range $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
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.

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 Kristen Kim's NPI number?

The NPI number for Kristen Kim is 1356114623. It was assigned to this individual provider in the NPPES registry on October 30, 2023.

Where is Kristen Kim located?

Kristen Kim practices at 725 River Rd, Ste 32 Box 180, Edgewater, NJ 07020. The listed phone number is (917) 727-1896.

What is Kristen Kim's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kristen Kim enrolled in Medicare?

Yes. Kristen 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.

When was this NPI record last updated?

The NPPES record for Kristen Kim was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.