Kimberly Cai
Internal Medicine โข Hackensack, NJ
385 Prospect Ave
Hackensack, NJ 07601
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on March 23, 2015; this date does not establish years in practice.
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Published CMS data list 609 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 259 service units.
- G0439 โ Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit: 99 service units.
- 99497 โ Advance care planning: 84 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 8 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 3,288 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium โ 304 prescription fills, including refills.
- Amlodipine Besylate โ 204 prescription fills, including refills.
- Levothyroxine Sodium โ 188 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 80 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 65% of clinicians listed under Internal Medicine in Hackensack, NJ (2024, 67 clinicians with data). Median for this group: 716. Middle half: 466 to 1,779.
Fewer Medicare Part B services than 60% of clinicians listed under Internal Medicine in New Jersey (2024, 2,949 clinicians with data). Median for this group: 857. Middle half: 361 to 1,824.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 365 in 2020 to 609 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
385 Prospect Ave
Hackensack, NJ 07601
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Hackensack Meridian Health Medical Group - Primary Care Pc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2015
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
177 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $73,846 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $56,133 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
8,184 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$401,169 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $691.68 across 39 records.
By nature of payment
- Food and Beverage: $691.68 across 39 records.
Reporting-company totals (3 largest of 12)
- AstraZeneca Pharmaceuticals LP: $193.68 across 9 records.
- Novo Nordisk Inc: $161.72 across 9 records.
- Exact Sciences Corporation: $59.26 across 3 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
11 years (graduated 2015)
CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2015
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Kimberly Cai has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Kimberly Cai as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Hackensack and New Jersey
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 65% of clinicians listed under Internal Medicine in Hackensack, NJ (2024, 67 clinicians with data). Median for this group: 716. Middle half: 466 to 1,779.
Fewer Medicare Part B services than 60% of clinicians listed under Internal Medicine in New Jersey (2024, 2,949 clinicians with data). Median for this group: 857. Middle half: 361 to 1,824.
Medicare-allowed amount
A lower Medicare-allowed amount than 65% of clinicians listed under Internal Medicine in Hackensack, NJ (2024, 67 clinicians with data). Median for this group: $85,641. Middle half: $57,989 to $165,124.
Close to the middle for clinicians listed under Internal Medicine in New Jersey (2024, 2,949 clinicians with data). Median for this group: $82,901. Middle half: $39,377 to $160,734.
Paid by Medicare
A lower Medicare payment amount than 65% of clinicians listed under Internal Medicine in Hackensack, NJ (2024, 67 clinicians with data). Median for this group: $66,890. Middle half: $44,793 to $128,879.
Close to the middle for clinicians listed under Internal Medicine in New Jersey (2024, 2,949 clinicians with data). Median for this group: $63,529. Middle half: $29,601 to $125,814.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Internal Medicine in Hackensack, NJ (2024, 71 clinicians with data). Median for this group: 411. Middle half: 44 to 2,999.
More Part D prescriptions than 60% of clinicians listed under Internal Medicine in New Jersey (2024, 2,920 clinicians with data). Median for this group: 1,790. Middle half: 203 to 5,009.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Internal Medicine in Hackensack, NJ (2024, 71 clinicians with data). Median for this group: $61,322. Middle half: $369 to $250,004.
A higher Part D drug cost than 70% of clinicians listed under Internal Medicine in New Jersey (2024, 2,920 clinicians with data). Median for this group: $132,003. Middle half: $9,918 to $431,533.
100 active clinicians are listed under Internal Medicine with a practice address in Hackensack, NJ (4,644 in New Jersey).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Hackensack
23% of these 100 clinicians have the CMS telehealth indicator.
77% of these 100 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 67% from 365 in 2020 to 609 in 2024.
- 2020: 365
- 2021: 485
- 2022: 470
- 2023: 595
- 2024: 609
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Medicare-allowed amount
Medicare-allowed amount increased 134% from $31,538 in 2020 to $73,846 in 2024.
- 2020: $31,538
- 2021: $47,700
- 2022: $46,182
- 2023: $70,820
- 2024: $73,846
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Paid by Medicare
Paid by Medicare increased 134% from $24,002 in 2020 to $56,133 in 2024.
- 2020: $24,002
- 2021: $37,183
- 2022: $37,802
- 2023: $55,838
- 2024: $56,133
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 164% from 1,244 in 2020 to 3,288 in 2024.
- 2020: 1,244
- 2021: 2,233
- 2022: 2,161
- 2023: 2,888
- 2024: 3,288
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30-day fills
30-day fills increased 171% from 3,016 in 2020 to 8,184 in 2024.
- 2020: 3,016
- 2021: 5,600
- 2022: 5,527
- 2023: 7,271
- 2024: 8,184
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Part D drug cost
Part D drug cost increased 235% from $119,584 in 2020 to $401,169 in 2024.
- 2020: $119,584
- 2021: $236,386
- 2022: $219,539
- 2023: $338,678
- 2024: $401,169
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 86% from $4,977.96 in 2021 to $691.68 in 2025.
- 2021: $4,977.96
- 2022: $481.96
- 2023: $627.70
- 2024: $794.89
- 2025: $691.68
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 39 records totaling $691.68.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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BREZTRI | General | $71.08 |
| MAYNE PHARMA COMMERCIAL LLC |
Food and Beverage
In-kind items and services
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โ | General | $22.55 |
| Sumitomo Pharma America, Inc. |
Food and Beverage
In-kind items and services
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MYFEMBREE | General | $21.94 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Wegovy | General | $21.73 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Wegovy | General | $21.14 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
|
Cologuard Collection Kit | General | $20.96 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $20.30 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
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Cologuard Collection Kit | General | $19.55 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $18.82 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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SHINGRIX | General | $18.80 |
| MAYNE PHARMA COMMERCIAL LLC |
Food and Beverage
In-kind items and services
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โ | General | $18.80 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
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Cologuard Collection Kit | General | $18.75 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Kerendia | General | $18.53 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
โ | General | $18.35 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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PREVNAR 20 | General | $18.35 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
MOUNJARO | General | $18.29 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Wegovy | General | $17.81 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Ozempic | General | $17.51 |
| MAYNE PHARMA COMMERCIAL LLC |
Food and Beverage
In-kind items and services
|
โ | General | $16.82 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Ozempic | General | $16.65 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
BREZTRI | General | $16.56 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
BREZTRI | General | $16.31 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
OTEZLA | General | $15.74 |
| Dynavax Technologies Corporation |
Food and Beverage
In-kind items and services
|
Heplisav-B | General | $15.70 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
BREZTRI | General | $15.63 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2018โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
259 | 133 | $425.44 | $144.98 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
99 | 99 | $430.61 | $151.47 |
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99497
Advance care planning, first 30 minutes
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84 | 84 | $270.48 | $92.17 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
65 | 50 | $300.92 | $89.22 |
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G0008
Administration of influenza virus vaccine
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39 | 39 | $105.00 | $33.68 |
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90662
Influenza vaccine split virus, preservative free
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33 | 33 | $150.00 | $81.82 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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19 | 19 | $550.53 | $192.12 |
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36415
Insertion of needle into vein for collection of blood sample
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11 | 11 | $30.00 | $8.65 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 304 | 26,956 | $4,420.25 | 112 |
| Amlodipine Besylate | Amlodipine Besylate | 204 | 17,470 | $1,404.65 | 70 |
| Levothyroxine Sodium | Levothyroxine Sodium | 188 | 16,454 | $1,596.17 | 58 |
| Metformin Hcl | Metformin Hcl | 122 | 10,583 | $857.47 | 44 |
| Losartan Potassium | Losartan Potassium | 112 | 9,512 | $937.87 | 36 |
| Lisinopril | Lisinopril | 98 | 8,820 | $581.86 | 32 |
| Gabapentin | Gabapentin | 97 | 7,157 | $1,465.72 | 42 |
| Metoprolol Succinate | Metoprolol Succinate | 92 | 7,970 | $1,317.76 | 28 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 90 | 7,750 | $1,826.45 | 32 |
| Pantoprazole Sodium | Pantoprazole Sodium | 79 | 6,850 | $1,251.76 | 39 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 68 | 1,813 | $1,346.19 | 28 |
| Fluticasone Propionate | Fluticasone Propionate | 62 | 2,777 | $1,142.98 | 31 |
| Omeprazole | Omeprazole | 62 | 4,510 | $948.58 | 22 |
| Hydrochlorothiazide | Hydrochlorothiazide | 58 | 5,160 | $236.42 | 17 |
| Jardiance | Empagliflozin | 58 | 4,790 | $92,809.77 | 25 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 53 | 4,682 | $1,058.10 | 18 |
| Simvastatin | Simvastatin | 50 | 4,530 | $219.55 | 15 |
| Alendronate Sodium | Alendronate Sodium | 48 | 4,000 | $358.60 | 18 |
| Methylprednisolone | Methylprednisolone | 46 | 276 | $374.80 | 39 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 46 | 4,080 | $627.63 | 24 |
| Farxiga | Dapagliflozin Propanediol | 45 | 2,292 | $42,452.43 | 11 |
| Azithromycin | Azithromycin | 44 | 220 | $122.99 | 40 |
| Mirtazapine | Mirtazapine | 43 | 3,630 | $1,110.55 | 18 |
| Ozempic | Semaglutide | 41 | 2,304 | $65,248.00 | 22 |
| Escitalopram Oxalate | Escitalopram Oxalate | 38 | 3,360 | $576.23 | 21 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20181213000057
NJ
1759626187
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Hackensack Meridian Health Medical Group - Primary Care Pc
385 Prospect Ave, Hackensack, NJ 076012570
Phone: 5519969140
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Anesthesiology
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Nurse Practitioner - Acute Care
Family Medicine - Hospice and Palliative Medicine
Emergency Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 385 PROSPECT AVE STE 204, HACKENSACK, NJ 076012570 (Tel: 5519969140)
Registered at 385 PROSPECT AVE, HACKENSACK, NJ 07601 (Tel: 5519962000)
Registered at 385 PROSPECT AVE, HACKENSACK, NJ 076012570
Internal Medicine (license number reported to NPPES: NJ 25MA10333000)
NPI status registered as active in NPPES database
Registered at 201 LYONS AVE, NEWARK, NJ 071122027 (Tel: 2014013816)
Registered at 201 LYONS AVE, NEWARK, NJ 071122027 (Tel: 2014013816)
Recorded as KIMBERLY CAI
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Hackensack
- Dr. Gabrielle Lobue, MD
- Dr. Gary Schwartz, MD
- Dr. Jeremy Kwon, MD
- Dr. Anita Sawkar, DO
- Dr. Moshe Ephrat, MD
- Dr. Adam Atoot, MD
Mailing Address
385 Prospect Ave Ste 204
Hackensack, NJ 076012570
Phone: 5519969140