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

Minji Kim

Individual provider Family Nurse Practitioner · NPI 1205647237

Minji Kim is a Nurse Practitioner in New York, New York. Qualified in 2024, 2 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2025
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Practice location Address checks out

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone: (212) 241-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2344092 (MA)

Record details

NPI number1205647237
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 17, 2025
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at University of Penn-Medical Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3401 clinicians in the practice; 12 are shown here.

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