Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Ellen Kim

Specialist β€’ Edison, NJ

Active NPI 1679200968 Individual Practitioner Female Practitioner
Practice location in NPPES

10 Parsonage Rd Ste 318
Edison, NJ 088372429

Call 7322041635 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10 Parsonage Rd Ste 318

Edison, NJ 088372429

Telephone 7322041635
Organization at the Same NPPES Address or Phone
Achieve Beyond Inc Facility NPI 1124330634

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Edison and New Jersey

40 active clinicians are listed under Specialist with a practice address in Edison, NJ (1,641 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Edison

5% of these 40 clinicians have the CMS telehealth indicator.

25% of these 40 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-08-09
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2022

Specialist

βœ…
NPI Profile Active August 05, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 05, 2022

Registered at 10 PARSONAGE RD STE 318, EDISON, NJ 088372429 (Tel: 7322041635)

πŸ“
Business Mailing Address (Initial Record) August 05, 2022

Registered at 7000 AUSTIN ST STE 200, FOREST HILLS, NY 113754739

πŸ‘€
Provider Name / Credentials (Initial Record) August 05, 2022

Recorded as ELLEN KIM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2022

Behavior Technician

🟒
Initial NPI Registration & Enumeration August 05, 2022

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1679200968
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2022
Last Update: August 09, 2022
Sole Proprietor: No

Other Specialists in Edison

All Specialists in Edison

Mailing Address

7000 Austin St Ste 200

Forest Hills, NY 113754739

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.