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DR. YUKIKO KIMURA M.D.
NPI 1417900135
Pediatrics - Pediatric Rheumatology in Hackensack, NJ

Active since May 17, 2006PECOS Enrolled
30 PROSPECT AVE, HACKENSACK, NJ 07601(201) 996-5306(201) 996-9815 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Yukiko Kimura M.d. NPPES

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

DR. YUKIKO KIMURA M.D. (NPI 1417900135) is an individual pediatric rheumatology provider in Hackensack, New Jersey, licensed in New Jersey (25MA04647100) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417900135
Entity TypeIndividualFemale
Primary Taxonomy2080P0216X
Provider Legal NameDR. YUKIKO KIMURACredential: M.D.
Location Address30 PROSPECT AVEHackensack, NJ 07601-1914
Mailing Address30 Prospect AveHackensack, NJ 07601-1914 · (201) 996-5306 · Fax (201) 996-9815
Phone(201) 996-5306
Fax(201) 996-9815
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417900135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
License✔ Licensed in NJ · 25MA04647100
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
30 PROSPECT AVE, Hackensack, NJ 07601
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Other Identifiers 3

Medicare ID-Type Unspecified703773MC0NJ
Medicaid0751502NJ
Medicare UPINF10652NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Yukiko Kimura M.d. 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 Reassignments

2

Medicare enrollment records show Yukiko Kimura reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Complex Care PC
38 mi
Internal Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
NPI 1154379626 (732) 807-0800
Hackensack Meridian Health Medical Group - Specialty Care PC
38 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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

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. JESUS RAFAEL ALVAREZ-PEREZ M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2453
JENNIFER NORTHRIDGE M.D.
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2237
ANALYSA GALLEGOS MD
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2331
DR. PAARTH RAJ D.O.
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 996-2000
MRS. LAUREN ANNE CARUCCI NP-C
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
MS. SOMDATTA GUPTA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (973) 216-7796
ALEXANDER SHERMAN DO
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (818) 635-2802
DR. TYLER MICHAEL CHAFITZ MD, MBA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000

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 Yukiko Kimura's NPI number?

The NPI number for Yukiko Kimura is 1417900135. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Yukiko Kimura located?

Yukiko Kimura practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (201) 996-5306.

What is Yukiko Kimura's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is Yukiko Kimura enrolled in Medicare?

Yes. Yukiko Kimura is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Yukiko Kimura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yukiko Kimura reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each 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 Yukiko Kimura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yukiko Kimura accept?

Health plans from Oscar Health list Yukiko Kimura 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 Yukiko Kimura was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.