HAE OK KIM NP
NPI 1881068435
Nurse Practitioner - Acute Care in Newark, NJ
About Hae Ok Kim Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAE OK KIM NP (NPI 1881068435) is an individual acute care provider in Newark, New Jersey, licensed in New Jersey (26NJ00601400) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Holy Name Medical Center, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
Hae Ok Kim Np 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 Hae Ok Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 clinicians in this Medicare group
Paterson, NJ 07503
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: St Josephs Healthcare Inc
- 372 clinicians in this Medicare group
Teaneck, NJ 07666
- Reassigned Medicare billing, New Jersey enrollment
- 23 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holy Name Medical Center
Acute Care Hospitals · Teaneck, NJPhysician 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 Hae Ok Kim's NPI number?
The NPI number for Hae Ok Kim is 1881068435. It was assigned to this individual provider in the NPPES registry on November 19, 2015.
Where is Hae Ok Kim located?
Hae Ok Kim practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (201) 820-7296.
What is Hae Ok Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Hae Ok Kim enrolled in Medicare?
Yes. Hae Ok 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 Hae Ok Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hae Ok Kim reassigns Medicare benefits to 3 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ), St. Joseph's Healthcare, Inc. (Paterson, NJ) and Holy Name Pulmonary Associates, PC (Teaneck, 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 Hae Ok Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hae Ok Kim accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Hae Ok 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 Hae Ok Kim affiliated with any hospitals?
According to CMS data, Hae Ok Kim is affiliated with Holy Name Medical Center.
When was this NPI record last updated?
The NPPES record for Hae Ok Kim was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Hae Ok Kim, NP · NPI 1881068435
Acute Care physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since November 19, 2015.
## Identity
- **NPI:** 1881068435 (Entity type: Individual)
- **Enumerated:** November 19, 2015
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 26NJ00601400 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 201 LYONS AVE, Newark, NJ 07112-2027
- **Phone:** (201) 820-7296
## 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): Barnabas Health Medical Group PC (NPI 1841557246, Elizabeth, NJ); St. Joseph's Healthcare, Inc. (NPI 1497791297, Paterson, NJ); Holy Name Pulmonary Associates, PC (NPI 1144484866, Teaneck, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** August 6, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1881068435) · Data from the CMS NPPES public registry.