DR. MIAH KIM (DO) – Family Medicine Physician, NPI 1720053838

DR. MIAH KIM (DO) is a healthcare provider. based in Jackson, New Jersey. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 25MB05981900 (NJ). The NPI Number for DR. MIAH KIM (DO) is 1720053838

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. MIAH KIM (DO)
NPI
1720053838
Phone
Not provided
Address
6 SOLOMON CT
Enumeration Date
22 February 2006
Last Update Date
19 December 2008

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
7326830010
Graduation Year
1992 (34 years ago)
PAC ID
2365507647
Group Practice PAC ID
2961748181
Professional Enrollment ID
I20090220000185
Address ID
NJ077282963FR55XXXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,515 FAMILY PRACTICE in NJ

Provider Addresses for DR. MIAH KIM (DO)

  • 6, Solomon Court, Leesville, Jackson Township, Ocean County, New Jersey, 08527, United States

    JACKSON, NJ 085274855

    Phone:

    Type: Mailing

  • 80 SCENIC DR

    SUITE 6

    FREEHOLD, NJ 077285210

    Phone: (732) 683-0010

    Fax: (732) 409-6997

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-02-20

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
I20090220000185IFamily PracticeNJTBD

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 minutes468267$0
G0444Annual depression screening, 5 to 15 minutes309309$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit307307$0
99213Established patient office or other outpatient visit, 20-29 minutes177129$0
G0008Administration of influenza virus vaccine116114$0
View full utilization report →

Insurance plans in this area (ZIP 08527)

Loading plans...

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: 2961748181View full group profile
NameSpecialtyState
Family PracticeNJ
P O D I A T R YNJ
Internal MedicineNJ
Internal MedicineNJ
Internal MedicineNJ
Internal MedicineNJ
Internal MedicineNJ
Nurse PractitionerNJ
Gastroenterology, Internal MedicineNJ
Internal MedicineNJ

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does DR. MIAH KIM (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MIAH KIM (DO) uses 1720053838.
Is DR. MIAH KIM (DO) still practicing?
DR. MIAH KIM (DO) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. MIAH KIM (DO)?
For research purposes, treat DR. MIAH KIM (DO) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. MIAH KIM (DO) based?
DR. MIAH KIM (DO) is tied to Jackson, New Jersey in the data we show; additional addresses may exist on the full record.
Why does DR. MIAH KIM (DO) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

ARTHUR H III BRAUNWELL (DO)

Family Medicine Physician
West County Line Road, Lakeover, Jackson, Hinds County, Mississippi, 39206, United States
NPI: 1821094640

SCOTT J DRUCKMAN (D.O.)

Family Medicine Physician
27, South Cooks Bridge Road, Greenbriar at Winding Ways, Jackson Township, Ocean County, New Jersey, 08527, United States
NPI: 1871582304

JOSE GABRIEL BAL (M.D.)

Family Medicine Physician
11, Cedar Knoll Road, Jackson Township, Ocean County, New Jersey, 08527, United States
NPI: 1407833288

DR. ROBERT NEIL PEDOWITZ (D.O.)

Family Medicine Physician
225, Willow Brook Road, Freehold Township, Monmouth County, New Jersey, 07728, United States
NPI: 1851346985

DR. MARINA KRISHTUL (M.D.)

Family Medicine Physician
70, Brick Church Road, Chasm Falls, Malone, Franklin County, New York, 12953, United States
NPI: 1891719449

SUSAN RODRIGUEZ-BOSTOCK (M.D.)

Family Medicine Physician
108, Main Street, Lakewood, Ocean County, New Jersey, 08701, United States
NPI: 1750391686
1707 ATLANTIC AVE BLVD
NPI: 1477620136

DR. FRANK VINCENT DE GENNARO (DO)

Family Medicine Physician
6 OAKMONT LN
NPI: 1194852194

AGNIESZKA SULEWSKI (DO)

Emergency Medicine Physician
1945 Route 33
NPI: 1598971335