ZACHARY KWONGJO KIM
NPI 1821675968
Emergency Medicine in Newark, NJ

Active since March 25, 2021PECOS EnrolledAccepts Medicare Assignment
201 LYONS AVE, NEWARK, NJ 07112(973) 926-7000 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 Maimonides Medical Center, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1821675968
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameZACHARY KWONGJO KIM
Location Address201 LYONS AVENewark, NJ 07112-2027
Mailing Address4802 10th AveBrooklyn, NY 11219-2916 · (718) 283-6000
Sole ProprietorYes
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2021
Enumeration DateMarch 25, 2021
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
NPI 1821675968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in NJ · 25MA12179100 Licensed in NY · 329020
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
201 LYONS AVE, Newark, NJ 07112

Secondary Practice Location 1

Location 14802 10th AveBrooklyn, NY 11219-2916 · Phone (718) 283-6000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2769925015
PECOS Enrollment IDI20240614003384
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maimonides Medical Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330194
Location4802 Tenth AvenueBrooklyn, NY 11219 · Kings County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician 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.

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.

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.

Radiology (Diagnostic Radiology)
201 LYONS AVE
NEWARK, NJ 07112
Emergency Medicine
201 LYONS AVE, SUITE D11
NEWARK, NJ 07112
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Pediatrics (Pediatric Critical Care Medicine)
201 LYONS AVE
NEWARK, NJ 07112
Nurse Practitioner (Acute Care)
201 LYONS AVE
NEWARK, NJ 07112
Physician Assistant
201 LYONS AVE
NEWARK, NJ 07112
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
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.

Is Zachary Kim affiliated with any hospitals?

According to CMS data, Zachary Kim is affiliated with Maimonides Medical Center and 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.