Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Hae Ok Kim, NP

Individual provider Acute Care Nurse Practitioner · NPI 1881068435

Hae Ok Kim, NP is a Nurse Practitioner in Newark, New Jersey. Qualified in 2014, 12 years ago. Practices with Holy Name Pulmonary Associates PC, a 15-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
12
Licensed in
NJ
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

201 Lyons Ave
Newark, NJ 07112-2027
Phone: (201) 820-7296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 26NJ00601400 (NJ)

Record details

NPI number1881068435
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedNovember 19, 2015
Last updated in NPPESAugust 6, 2020
Certification dateAugust 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Holy Name Pulmonary Associates Pc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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