ZACHARY KWONGJO KIM
NPI 1821675968
Emergency Medicine in Newark, NJ
About Zachary Kwongjo Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZACHARY KWONGJO KIM (NPI 1821675968) is an individual emergency medicine provider in Newark, New Jersey, licensed in New Jersey (25MA12179100) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and maintains a secondary practice location in Brooklyn.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Zachary Kwongjo Kim 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
2Medicare enrollment records show Zachary Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11219
- Reassigned Medicare billing, New York enrollment
- 189 clinicians in this Medicare group
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 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.
Long Island Jewish Medical Center
Acute Care Hospitals · New Hyde Park, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07112 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.
NEWARK, NJ 07112
NEWARK, NJ 07112
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 Zachary Kim's NPI number?
The NPI number for Zachary Kim is 1821675968. It was assigned to this individual provider in the NPPES registry on March 25, 2021.
Where is Zachary Kim located?
Zachary Kim practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-7000.
What is Zachary Kim's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Zachary Kim enrolled in Medicare?
Yes. Zachary 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 Zachary Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Kim reassigns Medicare benefits to 2 organizations: Maimonides Medical Center - Mmc Emergency Physicians Fpp (Brooklyn, NY) and North Shore - Lij Medical PC (New Hyde Park, NY). 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 Zachary Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Zachary Kim affiliated with any hospitals?
According to CMS data, Zachary Kim is affiliated with Long Island Jewish Medical Center.
When was this NPI record last updated?
The NPPES record for Zachary Kim was last updated on May 28, 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.
# Zachary Kwongjo Kim · NPI 1821675968
Emergency Medicine physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since March 25, 2021.
## Identity
- **NPI:** 1821675968 (Entity type: Individual)
- **Enumerated:** March 25, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 25MA12179100 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 201 LYONS AVE, Newark, NJ 07112-2027
- **Phone:** (973) 926-7000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Maimonides Medical Center - Mmc Emergency Physicians Fpp (NPI 1982708202, Brooklyn, NY); North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Maryland School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** May 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1821675968) · Data from the CMS NPPES public registry.