DONGJIN KIM APN
NPI 1811447501
Nurse Practitioner - Psychiatric/Mental Health in Englewood, NJ
About Dongjin Kim Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONGJIN KIM APN (NPI 1811447501) is an individual psychiatric/mental health provider in Englewood, New Jersey, licensed in New Jersey (26NJ00832600) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 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
Dongjin Kim Apn 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 Reassignments
3Medicare enrollment records show Dongjin Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tenafly, NJ 07670
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Tenafly Psychiatric Associates LLC
- 26 clinicians in this Medicare group
Bronx, NY 10453
- Reassigned Medicare billing, New York enrollment
- 1,393 clinicians in this Medicare group
Jersey City, NJ 07306
- Reassigned Medicare billing, New Jersey enrollment
- 121 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Englewood Hospital And Medical Center
Acute Care Hospitals · Englewood, NJPhysician 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.
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.
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
ENGLEWOOD, NJ 07631
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 Dongjin Kim's NPI number?
The NPI number for Dongjin Kim is 1811447501. It was assigned to this individual provider in the NPPES registry on October 6, 2016.
Where is Dongjin Kim located?
Dongjin Kim practices at 350 Engle St, Englewood, NJ 07631. The listed phone number is (201) 292-1400.
What is Dongjin Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Dongjin Kim enrolled in Medicare?
Yes. Dongjin 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 organizations bill Medicare for Dongjin Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dongjin Kim reassigns Medicare benefits to 3 organizations: Tenafly Psychiatric Associates, L.L.C. (Tenafly, NJ), Essen Medical Associates, PC (Bronx, NY) and Physician Partners Of Englewood, PC (Jersey City, 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 Dongjin Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dongjin Kim accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Harvard Pilgrim Health Care and Oscar Health list Dongjin 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 Dongjin Kim affiliated with any hospitals?
According to CMS data, Dongjin Kim is affiliated with Englewood Hospital And Medical Center.
When was this NPI record last updated?
The NPPES record for Dongjin Kim was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Dongjin Kim, APN · NPI 1811447501
Psychiatric/Mental Health physician in Englewood, New Jersey. Individual provider, active in the CMS NPPES registry since October 6, 2016.
## Identity
- **NPI:** 1811447501 (Entity type: Individual)
- **Enumerated:** October 6, 2016
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26NJ00832600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 350 ENGLE ST, Englewood, NJ 07631-1808
- **Phone:** (201) 292-1400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Tenafly Psychiatric Associates, L.L.C. (NPI 1821063835, Tenafly, NJ); Essen Medical Associates, PC (NPI 1366418709, Bronx, NY); Physician Partners Of Englewood, PC (NPI 1154671501, Jersey City, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1811447501) · Data from the CMS NPPES public registry.