Look up the most recent NPI and PECOS records

Hyunji Kim

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2015 Grand Concourse, Bronx, NY 10453-4303

PECOS Enrollment

Based on the most recent information from CMS, provider Hyunji Kim is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1225426471
Provider Type
Individual
Full Name
Kim, Hyunji
Gender
Female

Sole Proprietor
No
Enumeration Date
12/22/2014
Last Updated
1/24/2020

Contact Information

Practice Location

2015 Grand Concourse, Bronx, NY 10453-4303

(718) 299-7295

(718) 299-6797

Mailing Location

PO Box 255228, Sacramento, CA 95865-5228

(855) 771-0335

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 338196 New York

Hyunji Kim

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Lett, Jessica Jean Monique

Scotton, Charlene Carolyn

Lee, Younju Angela

Ehrlich, Darie

Thyme, Ebony Princess

Hannah, Andrew

Paik, Jung Hwa

Nilges, Isaac

Mpoyi, Germaine Kaja

Herrera, Yoandri