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

Miriam Kim, MSNAGPCNP-BCCCRN

Individual provider Adult Health Nurse Practitioner · NPI 1801618640

Miriam Kim, MSNAGPCNP-BCCCRN is a Nurse Practitioner in Northvale, New Jersey. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024

Practice location Address checks out

329 Congers Ave
Northvale, NJ 07647-1607
Phone: (201) 266-6621
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 312043 (NY)

Record details

NPI number1801618640
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNAGPCNP-BCCCRN
Sole proprietorYes
NPI enumeratedOctober 31, 2024
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Northvale