SAMUEL KIM MD
NPI 1609308840
Internal Medicine - Interventional Cardiology in Glen Ridge, NJ
About Samuel Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL KIM MD (NPI 1609308840) is an individual interventional cardiology provider in Glen Ridge, New Jersey, licensed in New Jersey (25MA12291900) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Albany Medical College Of Union University (2017).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Samuel Kim Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Samuel Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hackensack University Medical Center
Acute Care Hospitals · Hackensack, NJHackensack Meridian Health, Mountainside Medical
Acute Care Hospitals · Montclair, NJCooperman Barnabas Medical Center
Acute Care Hospitals · Livingston, NJNew York-Presbyterian Hospital
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Samuel Kim's NPI number?
The NPI number for Samuel Kim is 1609308840. It was assigned to this individual provider in the NPPES registry on March 28, 2017.
Where is Samuel Kim located?
Samuel Kim practices at 311 Bay Ave Ste 202, Glen Ridge, NJ 07028. The listed phone number is (848) 308-5366.
What is Samuel Kim's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
Is Samuel Kim enrolled in Medicare?
Yes. Samuel 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.
Which organization bills Medicare for Samuel Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Kim reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, 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 Samuel Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Kim accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Samuel 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.
Is Samuel Kim affiliated with any hospitals?
According to CMS data, Samuel Kim is affiliated with Hackensack University Medical Center, Hackensack Meridian Health, Mountainside Medical, Cooperman Barnabas Medical Center and New York-Presbyterian Hospital.
When was this NPI record last updated?
The NPPES record for Samuel Kim was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Samuel Kim, MD · NPI 1609308840
Interventional Cardiology physician in Glen Ridge, New Jersey. Individual provider, active in the CMS NPPES registry since March 28, 2017.
## Identity
- **NPI:** 1609308840 (Entity type: Individual)
- **Enumerated:** March 28, 2017
- **Primary specialty:** Internal Medicine - Interventional Cardiology · taxonomy 207RI0011X
- **State license:** 25MA12291900 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 311 BAY AVE STE 202, Glen Ridge, NJ 07028-1621
- **Phone:** (848) 308-5366 · **Fax:** (848) 308-5364
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albany Medical College Of Union University, class of 2017
## Record status
- **NPPES last updated:** September 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609308840) · Data from the CMS NPPES public registry.