SUYON YIM NP
NPI 1922564749
Nurse Practitioner in Englewood, NJ

Active since February 17, 2019
300 GRAND AVE STE 101, ENGLEWOOD, NJ 07631(201) 567-5787 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 13, 2022, Jul 20, 2022, May 26, 2022 and 2 more (5 updates tracked since 2019).

About Suyon Yim Np NPPES

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

SUYON YIM NP (NPI 1922564749) is an individual nurse practitioner in Englewood, New Jersey, licensed in New Jersey (26NJ00882400) and active in the NPI registry since February 2019. She maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1922564749
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUYON YIMCredential: NP
Location Address300 GRAND AVE STE 101Englewood, NJ 07631-6300
Mailing Address177 Nedellec DrSaddle Brook, NJ 07663-5140 · (201) 294-7268
Sole ProprietorNo
Enumeration DateFebruary 17, 2019
Last NPPES UpdateSeptember 13, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
✔ NPI 1922564749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in NJ · 26NJ00882400✔ Licensed in NY · 310723
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR14486900 (NJ)
300 GRAND AVE STE 101, Englewood, NJ 07631

Secondary Practice Location 1

Location 1401 Park Ave S # 855New York, NY 10016-8808 · Phone (347) 252-9771

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suyon Yim Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Suyon Yim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
464 HUDSON TER STE 201
Englewood Cliffs, NJ 07632
  • Reassigned Medicare billing, New Jersey enrollment
  • 155 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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
300 GRAND AVE STE 101
ENGLEWOOD, NJ 07631
Nurse Practitioner (Family)
300 GRAND AVE STE 101
ENGLEWOOD, NJ 07631
Internal Medicine (Nephrology)
300 GRAND AVE STE 101
ENGLEWOOD, NJ 07631
Internal Medicine (Nephrology)
300 GRAND AVE STE 101
ENGLEWOOD, NJ 07631
Dentist (Orthodontics and Dentofacial Orthopedics)
300 GRAND AVE STE 101
ENGLEWOOD, NJ 07631
Internal Medicine (Nephrology)
300 GRAND AVE STE 101
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 Suyon Yim's NPI number?

The NPI number for Suyon Yim is 1922564749. It was assigned to this individual provider in the NPPES registry on February 17, 2019.

Where is Suyon Yim located?

Suyon Yim practices at 300 Grand Ave Ste 101, Englewood, NJ 07631. The listed phone number is (201) 567-5787.

What is Suyon Yim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Suyon Yim enrolled in Medicare?

Yes. Suyon Yim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Suyon Yim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suyon Yim reassigns Medicare benefits to Hudson MD Group (Englewood Cliffs, NJ). 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 Suyon Yim'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 Suyon Yim was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.