Individual provider Active NPI

Mirhee Kim

  • Surgery Physician
  • New York, NY
National Provider Identifier
1003436650
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
338108 Issued in NY
Practice address
1060 5TH Ave # 1B
New York, NY 10128-0104
Phone
(212) 988-8269
NPI assigned
Apr 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 338108 NY Primary

Addresses

Primary practice location

1060 5TH Ave # 1B
New York, NY 10128-0104

Mailing address

8 Brian CT
Poughkeepsie, NY 12603-6345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250926004347 NJ Practitioner - General Surgery 7416452529 Reassigns benefits to 2 organizations
I20251218003627 NY Practitioner - General Surgery 7416452529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Northeast Surgical Specialists of NJ PCGroup PAC ID 4082109350, 5 clinicians
Surgical Specialists of New Jersey New York PCGroup PAC ID 0840643987, 5 clinicians
Surgical Specialists of Greater Ny LLPGroup PAC ID 3375729833, 12 clinicians

Practice addresses (Care Compare)

140 Sylvan Ave
Suite 213
Englewood Cliffs, NJ 07632-2559
Phone (718) 626-0707

185 Cedar LN
Suite L1
Teaneck, NJ 07666-4303
Phone (201) 357-8888

40 Berry Hill Rd
Oyster Bay, NY 11771-3515
Phone (718) 626-0707

Hospital & facility affiliations

  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
338108NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Surgical Specialists of NJ PC Surgery CurrentSince Nov 12, 2025 Accepting new patients
Surgical Specialists of New Jersey New York PC Surgery CurrentSince Aug 27, 2025 Accepting new patients
Surgical Specialists of Greater Ny LLP Surgery CurrentSince Jan 20, 2026 Accepting new patients

Locations

54 S Dean St
Englewood, NJ 07631
Phone (201) 871-4000

140 Sylvan Ave
Ste 213
Englewood Cliffs, NJ 07632
Phone (551) 444-2407

185 Cedar Ln
Ste L1
Teaneck, NJ 07666
Phone (201) 357-8888

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBJJDD/Endpoint/BBJJDD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1003436650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BRIAN CT",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 5TH AVE # 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280104",
            "telephone_number": "212-988-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MIRHEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "338108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.