Hae Ok Kim, NP - Medicare Nurse Practitioner in Newark, NJ

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Hae Ok Kim, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Newark, New Jersey. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Holy Name Pulmonary Associates Pc and her current practice location is 201 Lyons Ave, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 820-7296.

Hae Ok Kim is licensed to practice in New Jersey (license number 26NJ00601400) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881068435.

Contact Information

Hae Ok Kim, NP
201 Lyons Ave,
Newark, NJ 07112-2027
(201) 820-7296
Not Available

Map and Direction




Provider's Profile

Full NameHae Ok Kim
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location201 Lyons Ave, Newark, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Hae Ok Kim graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1881068435
  • Provider Enumeration Date: 11/19/2015
  • Last Update Date: 08/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2961707435
  • Enrollment ID: I20160222000156

Medical Identifiers

Medical identifiers for Hae Ok Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881068435NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 26NJ00601400 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Holy Name Medical CenterTeaneck, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Holy Name Pulmonary Associates Pc246651467415

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Hae Ok Kim allows following entities to bill medicare on her behalf.
Entity NameSt Josephs Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497791297
PECOS PAC ID: 9739171984
Enrollment ID: O20040330001612
Entity NameNbimc Department Of Cardio-thoracic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538127204
PECOS PAC ID: 4082696794
Enrollment ID: O20040607000106
Entity NameNbimc Department Of Heart
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497712632
PECOS PAC ID: 9032176516
Enrollment ID: O20041216000172
Entity NameHoly Name Pulmonary Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144484866
PECOS PAC ID: 2466514674
Enrollment ID: O20081223000234
Entity NameBarnabas Health Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841557246
PECOS PAC ID: 9537316955
Enrollment ID: O20120820000951
Entity NameSt Josephs Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205425519
PECOS PAC ID: 8628470325
Enrollment ID: O20210716000520

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Hae Ok Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hae Ok Kim, NP
3020 Edwin Ave Apt 1c,
Fort Lee, NJ 07024-3414

Ph: (201) 820-7296		Hae Ok Kim, NP
201 Lyons Ave,
Newark, NJ 07112-2027

Ph: (201) 820-7296

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.