Active NPI 1689896722 Individual Practitioner Female Practitioner

Dr. Michelle J Kim , MD

Urology • Hackensack, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michelle Kim, MD is a certified Urology practicing in Hackensack, NJ. With approximately 25 years of clinical experience since graduating from Rutgers New Jersey Medical School in 2001, Dr. Kim delivers high-quality medical care to the local community at 360 ESSEX ST.

Dr. Kim is affiliated with Hackensack Meridian Health Medical Group - Specialty Care Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, onabotulinumtoxina, 1 unit, bcg live intravesical instillation, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

360 Essex St
Dept Of Urology

Hackensack, NJ 076018550

Telephone 2013368224

Associated Practice Facility / Clinic

🏢 Duane Reade Facility NPI 1306861877

Medicare Profile & Education

Medical School

Rutgers New Jersey Medical School

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Hackensack, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -1.8 yrs vs City Avg

City Avg: 26.8 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

11 Specialists

Practicing in Hackensack, NJ (474 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kim (25 Years) 25 Yrs

Hackensack Specialty Average (26.8 Years) 26.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	3,450	16	$15.00	$6.26
J9030 Bcg live intravesical instillation, 1 mg	766	16	$10.00	$2.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	301	262	$425.58	$145.28
52000 Diagnostic exam of bladder and urethra using an endoscope	197	176	$814.06	$275.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	141	141	$551.21	$190.08
99213 Established patient office or other outpatient visit, typically 15 minutes	109	104	$300.60	$104.29
57150 Irrigation of vagina and/or application of drug to treat infection	72	41	$196.11	$55.45
57160 Fitting and insertion of vaginal support device	49	36	$250.41	$85.43
51700 Simple bladder irrigation and/or instillation	48	29	$261.25	$86.38
51797 Insertion of device into abdomen with pressure and urine flow rate study	47	46	$649.26	$225.07
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	46	45	$215.00	$37.28
51600 Injection procedure for X-ray imaging of the bladder or during voiding	44	43	$724.20	$124.77
51741 Electronic assessment of bladder emptying	44	42	$50.00	$8.46
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	44	43	$1239.55	$429.85
51720 Instillation of anti-cancer drug into bladder	41	22	$300.24	$103.48
51798 Ultrasound measurement of bladder capacity after voiding	41	40	$40.00	$13.10
74420 Imaging of urinary tract	29	20	$80.00	$26.99
52287 Exam with injections of chemical for destruction of bladder using an endoscope	27	16	$1304.44	$438.77
81002 Urinalysis, manual test	25	24	$15.00	$3.41
36415 Insertion of needle into vein for collection of blood sample	23	23	$29.35	$8.65
51703 Complicated insertion of bladder tube	23	13	$500.87	$174.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$371.30	$123.60
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	12	$1487.81	$167.51
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	12	$1316.67	$460.26
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	15	15	$55.00	$18.51
76873 Ultrasound of prostate	14	14	$591.07	$206.37
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	11	$80.36	$27.51
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	11	$1076.15	$374.57
A4561 Pessary, rubber, any type	12	11	$62.50	$26.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	3,701	24	$16.49	$6.06
J9030 Bcg live intravesical instillation, 1 mg	1,277	21	$10.00	$2.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	332	298	$433.83	$142.26
52000 Diagnostic exam of bladder and urethra using an endoscope	220	186	$876.25	$280.02
81002 Urinalysis, manual test	183	174	$31.83	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	169	169	$563.96	$181.86
99213 Established patient office or other outpatient visit, typically 15 minutes	113	103	$308.85	$100.45
57150 Irrigation of vagina and/or application of drug to treat infection	65	31	$212.38	$65.49
51720 Instillation of anti-cancer drug into bladder	58	23	$308.79	$97.90
51798 Ultrasound measurement of bladder capacity after voiding	56	55	$40.00	$12.79
51700 Simple bladder irrigation and/or instillation	39	28	$273.85	$87.28
51600 Injection procedure for X-ray imaging of the bladder or during voiding	37	37	$792.43	$126.44
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	36	36	$223.06	$36.44
51797 Insertion of device into abdomen with pressure and urine flow rate study	36	36	$714.31	$228.06
51741 Electronic assessment of bladder emptying	36	36	$50.00	$7.96
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	35	35	$1328.00	$428.66
52287 Exam with injections of chemical for destruction of bladder using an endoscope	33	23	$1390.30	$451.88
36415 Insertion of needle into vein for collection of blood sample	27	27	$12.78	$8.40
51703 Complicated insertion of bladder tube	22	12	$532.27	$172.28
57160 Fitting and insertion of vaginal support device	21	19	$260.00	$83.10
A4562 Pessary, reusable, non rubber, any type	16	14	$135.00	$65.01
74420 Imaging of urinary tract	15	12	$84.33	$25.23
P9612 Catheterization for collection of specimen, single patient, all places of service	14	11	$84.64	$8.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$195.00	$64.00
99442 Telephone medical discussion with physician, 11-20 minutes	13	12	$309.23	$76.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	1,950	12	$13.46	$5.51
J9030 Bcg live intravesical instillation, 1 mg	665	16	$10.00	$2.74
J1644 Injection, heparin sodium, per 1000 units	550	13	$5.00	$0.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	411	342	$434.34	$143.95
51798 Ultrasound measurement of bladder capacity after voiding	332	265	$40.00	$12.71
81002 Urinalysis, manual test	230	204	$33.09	$3.44
52000 Diagnostic exam of bladder and urethra using an endoscope	203	171	$883.40	$288.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	172	172	$562.99	$186.41
99213 Established patient office or other outpatient visit, typically 15 minutes	105	97	$308.76	$103.08
51700 Simple bladder irrigation and/or instillation	73	29	$274.73	$89.62
57150 Irrigation of vagina and/or application of drug to treat infection	68	37	$214.63	$58.56
51720 Instillation of anti-cancer drug into bladder	61	21	$309.02	$101.45
51600 Injection procedure for X-ray imaging of the bladder or during voiding	46	46	$798.91	$134.37
51797 Insertion of device into abdomen with pressure and urine flow rate study	42	42	$724.05	$230.72
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	42	42	$224.76	$35.54
51741 Electronic assessment of bladder emptying	39	38	$50.00	$7.99
57160 Fitting and insertion of vaginal support device	38	28	$259.87	$82.50
36415 Insertion of needle into vein for collection of blood sample	37	37	$10.00	$2.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	28	$194.67	$64.85
74420 Imaging of urinary tract	30	23	$84.83	$27.10
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	25	25	$1411.80	$438.99
51703 Complicated insertion of bladder tube	22	12	$535.00	$171.78
P9612 Catheterization for collection of specimen, single patient, all places of service	21	18	$90.00	$2.97
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	14	$1615.00	$155.05
52287 Exam with injections of chemical for destruction of bladder using an endoscope	18	12	$1407.78	$471.35
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	18	18	$1345.00	$446.44
51702 Simple insertion of temporary bladder tube	17	11	$223.82	$71.69
A4561 Pessary, rubber, any type	12	12	$70.00	$24.25
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$1145.00	$381.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	646	24	$5.00	$2.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	451	356	$370.00	$146.03
51798 Ultrasound measurement of bladder capacity after voiding	317	248	$50.00	$12.52
81002 Urinalysis, manual test	231	208	$10.00	$3.46
52000 Diagnostic exam of bladder and urethra using an endoscope	211	180	$665.00	$275.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	153	153	$550.00	$189.41
99213 Established patient office or other outpatient visit, typically 15 minutes	79	71	$255.00	$102.22
51700 Simple bladder irrigation and/or instillation	74	36	$260.00	$79.04
57150 Irrigation of vagina and/or application of drug to treat infection	59	34	$170.00	$47.04
51720 Instillation of anti-cancer drug into bladder	57	25	$290.00	$105.06
57160 Fitting and insertion of vaginal support device	50	38	$215.00	$82.12
36415 Insertion of needle into vein for collection of blood sample	41	40	$15.00	$3.00
51600 Injection procedure for X-ray imaging of the bladder or during voiding	40	40	$700.00	$137.72
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	38	38	$235.00	$38.61
74420 Imaging of urinary tract	38	27	$85.00	$26.97
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	37	37	$1260.00	$476.78
51741 Electronic assessment of bladder emptying	36	36	$50.00	$8.11
51797 Insertion of device into abdomen with pressure and urine flow rate study	34	34	$495.00	$229.15
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	16	$1925.00	$174.29
P9612 Catheterization for collection of specimen, single patient, all places of service	23	20	$90.00	$3.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	20	$80.00	$26.91
76000 Imaging guidance for procedure, 60 minutes or less	21	20	$165.00	$50.95
51701 Insertion of temporary bladder tube	20	20	$155.00	$52.20
A4561 Pessary, rubber, any type	16	16	$70.00	$23.23
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	12	$930.00	$371.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$155.00	$64.86
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$130.00	$42.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	449	337	$255.00	$84.66
81002 Urinalysis, manual test	298	257	$20.00	$3.44
51798 Ultrasound measurement of bladder capacity after voiding	219	181	$50.00	$12.42
52000 Diagnostic exam of bladder and urethra using an endoscope	172	155	$665.00	$246.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$550.00	$182.95
51720 Instillation of anti-cancer drug into bladder	83	19	$290.00	$97.01
J9030 Bcg live intravesical instillation, 1 mg	75	16	$285.00	$2.72
57150 Irrigation of vagina and/or application of drug to treat infection	53	28	$170.00	$46.52
57160 Fitting and insertion of vaginal support device	46	30	$215.00	$77.45
36415 Insertion of needle into vein for collection of blood sample	38	36	$15.00	$2.98
51700 Simple bladder irrigation and/or instillation	36	22	$260.00	$87.54
51600 Injection procedure for X-ray imaging of the bladder or during voiding	33	32	$700.00	$123.58
51797 Insertion of device into abdomen with pressure and urine flow rate study	31	30	$495.00	$188.58
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	31	31	$235.00	$37.97
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	31	30	$125.00	$122.08
51741 Electronic assessment of bladder emptying	28	27	$30.00	$8.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$370.00	$124.05
74420 Imaging of urinary tract	25	17	$85.00	$28.34
76000 Imaging guidance for procedure, 60 minutes or less	25	24	$165.00	$47.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	11	$240.00	$79.86
51703 Complicated insertion of bladder tube	19	11	$460.00	$163.31
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	11	$2100.00	$214.62
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	11	$80.00	$27.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	578	402	$254.10	$82.37
81002 Urinalysis, manual test	463	362	$20.00	$3.40
51798 Ultrasound measurement of bladder capacity after voiding	281	202	$51.07	$14.99
52000 Diagnostic exam of bladder and urethra using an endoscope	202	176	$666.39	$214.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	137	137	$550.00	$180.95
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	83	20	$450.78	$149.84
57160 Fitting and insertion of vaginal support device	60	34	$218.75	$65.25
51797 Insertion of device into abdomen with pressure and urine flow rate study	59	58	$493.14	$161.78
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	58	57	$143.02	$127.62
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	57	57	$242.37	$38.43
51741 Electronic assessment of bladder emptying	55	54	$30.45	$8.24
51600 Injection procedure for X-ray imaging of the bladder or during voiding	53	52	$698.77	$117.54
57150 Irrigation of vagina and/or application of drug to treat infection	47	26	$168.09	$35.99
36415 Insertion of needle into vein for collection of blood sample	43	37	$15.00	$2.94
74420 Imaging of urinary tract	38	22	$83.68	$28.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	31	$155.00	$51.05
51720 Instillation of anti-cancer drug into bladder	38	15	$290.00	$96.52
51700 Simple bladder irrigation and/or instillation	37	26	$260.54	$82.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	21	$60.00	$18.97
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	24	$78.52	$26.13
P9612 Catheterization for collection of specimen, single patient, all places of service	25	25	$88.40	$2.94
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	12	$2176.36	$191.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$370.00	$121.26
51702 Simple insertion of temporary bladder tube	16	12	$221.25	$71.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$239.29	$79.01
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	11	$921.79	$292.79
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$690.00	$228.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$490.00	$161.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	576	448	$20.00	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	568	427	$245.00	$80.32
J1644 Injection, heparin sodium, per 1000 units	300	12	$5.00	$0.19
51798 Ultrasound measurement of bladder capacity after voiding	271	205	$65.00	$18.61
52000 Diagnostic exam of bladder and urethra using an endoscope	218	183	$685.00	$185.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	160	160	$550.00	$180.72
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	140	26	$420.00	$150.48
51720 Instillation of anti-cancer drug into bladder	78	28	$365.00	$95.73
J9031 Bcg (intravesical) per instillation	77	27	$365.00	$134.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	51	$145.00	$49.15
51600 Injection procedure for X-ray imaging of the bladder or during voiding	57	57	$635.00	$113.03
51797 Insertion of device into abdomen with pressure and urine flow rate study	52	52	$385.00	$130.89
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	51	51	$1170.00	$394.29
51741 Electronic assessment of bladder emptying	51	51	$55.00	$8.91
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	51	51	$655.00	$39.24
36415 Insertion of needle into vein for collection of blood sample	42	42	$15.00	$2.94
51700 Simple bladder irrigation and/or instillation	40	21	$280.00	$81.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$360.00	$119.60
51702 Simple insertion of temporary bladder tube	35	28	$240.00	$73.65
57150 Irrigation of vagina and/or application of drug to treat infection	34	18	$155.00	$32.63
57160 Fitting and insertion of vaginal support device	33	20	$260.00	$83.45
74420 Imaging of urinary tract	31	19	$73.06	$19.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	14	$130.00	$42.14
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	12	$2154.78	$196.01
P9612 Catheterization for collection of specimen, single patient, all places of service	22	21	$50.00	$2.94
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	17	$70.00	$24.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$360.00	$118.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	489	383	$20.00	$3.42
99213 Established patient office or other outpatient visit, typically 15 minutes	402	313	$245.00	$80.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	256	212	$360.74	$118.52
51798 Ultrasound measurement of bladder capacity after voiding	225	150	$65.00	$22.57
52000 Diagnostic exam of bladder and urethra using an endoscope	200	168	$685.00	$184.01
J1644 Injection, heparin sodium, per 1000 units	170	11	$7.06	$0.20
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	166	35	$420.00	$147.29
J9031 Bcg (intravesical) per instillation	92	28	$362.38	$126.81
51720 Instillation of anti-cancer drug into bladder	89	28	$365.00	$99.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$550.00	$178.13
36415 Insertion of needle into vein for collection of blood sample	68	62	$15.00	$2.94
51700 Simple bladder irrigation and/or instillation	54	42	$280.00	$80.83
57150 Irrigation of vagina and/or application of drug to treat infection	49	25	$155.00	$48.89
51600 Injection procedure for X-ray imaging of the bladder or during voiding	46	46	$635.00	$107.30
74420 Imaging of urinary tract	46	30	$60.00	$19.01
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	45	45	$1170.00	$389.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$360.00	$117.39
51797 Insertion of device into abdomen with pressure and urine flow rate study	45	45	$385.00	$128.30
51702 Simple insertion of temporary bladder tube	43	28	$240.00	$71.85
51741 Electronic assessment of bladder emptying	42	42	$55.00	$9.20
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	41	41	$655.00	$39.03
52332 Insertion of stent in urinary duct (ureter) using an endoscope	38	23	$2011.58	$181.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	23	$145.00	$48.85
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	19	14	$2370.00	$797.54
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	15	$70.00	$22.82
P9612 Catheterization for collection of specimen, single patient, all places of service	17	14	$50.00	$2.94

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License NJ 25MA07782700

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Hospital & Practice Group Affiliations

Hackensack Meridian Health Medical Group - Specialty Care Pc

360 Essex St, Hackensack, NJ 076018550

Phone: 2013368686

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners

Asher Millman , PA-C

Physician Assistant - Medical

NPI 1053915330

Physician Assistant (Certified)

Dr. Dorothy Ourvan , DO

Family Medicine

NPI 1154398923

Doctor of Osteopathic Medicine (D.O.)

So Yeon Lee , RPH

Pharmacist

NPI 1164608840

Registered Pharmacist

Mark Ntiamoah

Pharmacist

NPI 1164754552

Dr. Jumana Shammout , MD

Specialist

NPI 1174663231

Doctor of Medicine (M.D.)

Dr. Ihor Sawczuk , MD

Urology

NPI 1225084825

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 360 ESSEX ST, DEPT OF UROLOGY, HACKENSACK, NJ 076018550 (Tel: 2013368224)

📍

Updated Business Mailing Address July 08, 2007

Registered at 360 ESSEX ST, DEPT OF UROLOGY, HACKENSACK, NJ 076018550

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MICHELLE KIM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Urology (License #25MA07782700 in NJ)

🟢

Initial NPI Registration & Enumeration May 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1689896722

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 02, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

360 Essex St, Dept Of Urology

Hackensack, NJ 076018550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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