SEOKYUNG KIM APN
NPI 1376999466
Nurse Practitioner - Gerontology in Englewood, NJ

Active since May 09, 2016PECOS Enrolled
350 ENGLE STREET, 2 EAST, ENGLEWOOD, NJ 07631(201) 894-3689 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 9, 2025, May 9, 2016 (2 updates tracked since 2016).

About Seokyung Kim Apn NPPES

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

SEOKYUNG KIM APN (NPI 1376999466) is an individual gerontology provider in Englewood, New Jersey, licensed in New Jersey (26NJ01116900) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1376999466
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSEOKYUNG KIMCredential: APN
Location Address350 ENGLE STREET, 2 EASTEnglewood, NJ 07631
Mailing Address3198 Grand ConcourseBronx, NY 10458-1000 · (718) 618-0401 · Fax (718) 795-4394
Sole ProprietorNo
Enumeration DateMay 9, 2016
Last NPPES UpdateJune 9, 20252 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1376999466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NJ · 26NJ01116900
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License F307676 (NY)
350 ENGLE STREET, Englewood, NJ 07631

Secondary Practice Location 1

Location 12015 Grand ConcourseBronx, NY 10453-4303 · Phone (718) 299-7295 · Fax (718) 299-6797

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Seokyung Kim Apn 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.

Medicare Billing Reassignment

Medicare enrollment records show Seokyung Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 849 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 07631 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Internal Medicine (Hematology & Oncology)
350 ENGLE STREET, 1ST FLOOR BERRIE BUILDING
ENGLEWOOD, NJ 07631
Pediatrics
350 ENGLE STREET, PEDIATRICS DEPARTMENT
ENGLEWOOD, NJ 07631
Internal Medicine
350 ENGLE STREET
ENGLEWOOD, NJ 07631
Physician Assistant
350 ENGLE STREET, ENGLEWOOD HOSPITAL
ENGLEWOOD, NJ 07631
Student in an Organized Health Care Education/Training Program
350 ENGLE STREET
ENGLEWOOD, NJ 07631
Nurse Practitioner (Family)
350 ENGLE STREET, 5 MAIN
ENGLEWOOD, NJ 07631
Student in an Organized Health Care Education/Training Program
350 ENGLE STREET
ENGLEWOOD, NJ 07631
Nurse Practitioner (Psychiatric/Mental Health)
350 ENGLE STREET, 4 EAST
ENGLEWOOD, NJ 07631

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 Seokyung Kim's NPI number?

The NPI number for Seokyung Kim is 1376999466. It was assigned to this individual provider in the NPPES registry on May 9, 2016.

Where is Seokyung Kim located?

Seokyung Kim practices at 350 Engle Street 2 East, Englewood, NJ 07631. The listed phone number is (201) 894-3689.

What is Seokyung Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Seokyung Kim enrolled in Medicare?

Yes. Seokyung Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Seokyung Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seokyung Kim reassigns Medicare benefits to Medical Associates Of Englewood, PC (Englewood, NJ). 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 Seokyung Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Seokyung Kim accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Seokyung Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Seokyung Kim was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.