EUI KIM – Family Nurse Practitioner, NPI 1063771202

EUI KIM is a healthcare provider. based in Emerson, New Jersey. specializing in NURSE PRACTITIONER. They hold a License No. 337269 (NY). The NPI Number for EUI KIM is 1063771202

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
EUI KIM
NPI
1063771202
Phone
(201) 967-8221
Address
466 OLD HOOK RD STE 1
Enumeration Date
8 May 2012
Last Update Date
5 April 2019

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
845353560025027
Graduation Year
2012 (14 years ago)
PAC ID
5597060715
Group Practice PAC ID
1658262084
Professional Enrollment ID
I20160226000304
Address ID
NY109014830SU257XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for EUI KIM

  • 466 OLD HOOK RD STE 1

    EMERSON, NJ 076301368

    Phone: (201) 967-8221

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $202.

Total Amount is formed as General ($202) + Research ($0) + Ownership ($0) = $202.

Last reported payment date: 2024-04-19 • Largest payer in this snapshot: Axonics, Inc. ($124).

Total Amount

$202

General + Research + Ownership

Payments

6

Total payment records

General Amount

$202

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160226000304INurse PractitionerNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes156120$0
99213Established patient office or other outpatient visit, 20-29 minutes9684$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report3333$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2626$0
View full utilization report →

Insurance plans in this area (ZIP 07630)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658262084View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineNY
-NY
-NY
-NY
-NY
Internal Medicine, Cardiovascular Disease (Cardiology)NY
-NY
Orthopedic SurgeryPA
Cardiovascular Disease (Cardiology), Internal MedicineNY
Nurse PractitionerNY

Reviews

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Frequently asked questions

What is EUI KIM's NPI number?
EUI KIM's NPI is 1063771202 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to EUI KIM?
You should see EUI KIM as active in CMS-hosted NPPES data.
What area of care is associated with EUI KIM?
EUI KIM's record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in New Jersey is EUI KIM registered?
Use Emerson, New Jersey as the headline location for EUI KIM here.
When was this NPI issued?
Enumeration for EUI KIM is noted as May 8, 2012 where the registry provides it.

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