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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043672017

Kimberly Koury, MD is an Orthopedic Surgery in Englewood, New Jersey. Qualified in 2016, 10 years ago. Practices with Practice Associates Medical Group, a 1,403-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

401 S Van Brunt St
Englewood, NJ 07631-4604
Phone: (201) 569-2770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Foot and Ankle Surgery Physician (primary) Taxonomy 207XX0004X · Licence 25MA11386100 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043672017
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2016
Last updated in NPPESAugust 10, 2022
Certification dateAugust 10, 2022

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Practice Associates Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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