Dongjin Kim, - Medicare Nurse Practitioner in Bronx, NY

Dongjin Kim, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bronx, New York. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Community Association Of Progressive Dominicans, Inc and his current practice location is 2015 Grand Concourse, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (592) 799-2817.

Dongjin Kim is licensed to practice in New York (license number F402047) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811447501.

Contact Information

Dongjin Kim,
2015 Grand Concourse,
Bronx, NY 10453
(592) 799-2817
Not Available

Map and Direction




Provider's Profile

Full NameDongjin Kim
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location2015 Grand Concourse, Bronx, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dongjin Kim graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1811447501
  • Provider Enumeration Date: 10/06/2016
  • Last Update Date: 06/27/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3274897244
  • Enrollment ID: I20180430001357

Medical Identifiers

Medical identifiers for Dongjin Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811447501NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health F402047 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Association Of Progressive Dominicans, Inc22644128163

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. Dongjin Kim allows following entities to bill medicare on his behalf.
Entity NameCommunity Association Of Progressive Dominicans, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629149125
PECOS PAC ID: 2264412816
Enrollment ID: O20040723000196
Entity NameBrightpoint Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003093436
PECOS PAC ID: 6800951989
Enrollment ID: O20090225000068
Entity NameJay Lawrence Friedman Md Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881829109
PECOS PAC ID: 3476604844
Enrollment ID: O20090624000544

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. Dongjin 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
Dongjin Kim,
2015 Grand Concourse,
Bronx, NY 10453-4303

Ph: (592) 799-2817
Dongjin Kim,
2015 Grand Concourse,
Bronx, NY 10453

Ph: (592) 799-2817

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.