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MIRIAM KIM MSN AGPCNP-BC CCRN
NPI 1801618640
Nurse Practitioner - Adult Health in Northvale, NJ

Active since October 31, 2024PECOS Enrolled
329 CONGERS AVE, NORTHVALE, NJ 07647(201) 266-6621 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miriam Kim Msn Agpcnp-bc Ccrn NPPES

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

MIRIAM KIM MSN AGPCNP-BC CCRN (NPI 1801618640) is an individual adult health provider in Northvale, New Jersey, licensed in New York (312043) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801618640
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMIRIAM KIMCredential: MSN AGPCNP-BC CCRN
Location Address329 CONGERS AVENorthvale, NJ 07647-1607
Mailing Address329 Congers AveNorthvale, NJ 07647-1607 · (201) 266-6621
Phone(201) 266-6621
Sole ProprietorYes
Enumeration DateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1801618640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 312043
329 CONGERS AVE, Northvale, NJ 07647
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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 (PECOS)

Miriam Kim Msn Agpcnp-bc Ccrn 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 Miriam Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trustees Of Columbia University In The City Of New York
12 mi
Surgery
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
NPI 1508266347 (646) 317-7111

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 07647 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.

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 Miriam Kim's NPI number?

The NPI number for Miriam Kim is 1801618640. It was assigned to this individual provider in the NPPES registry on October 31, 2024.

Where is Miriam Kim located?

Miriam Kim practices at 329 Congers Ave, Northvale, NJ 07647. The listed phone number is (201) 266-6621.

What is Miriam Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Miriam Kim enrolled in Medicare?

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

Which organization bills Medicare for Miriam Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Kim reassigns Medicare benefits to Trustees Of Columbia University In The City Of New York (New York, NY). 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 Miriam Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Miriam Kim was last updated on October 31, 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.