Individual provider Active NPI

Jane K Kim, MD

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1033373568
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
84846 Issued in CT
Practice address
112 Saint Marks PL
Brooklyn, NY 11217-4843
Phone
(917) 620-5055
NPI assigned
Jul 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 84846 CT Primary
Anesthesiology Physician 207L00000X 267006-1 NY

Addresses

Primary practice location

112 Saint Marks PL
Brooklyn, NY 11217-4843

Mailing address

112 Saint Marks PL
Brooklyn, NY 11217-4843
Phone (917) 620-5055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20121114000036 NY Practitioner - Anesthesiology 5991956252 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York Medical College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians
Bay AnesthesiaGroup PAC ID 0446639306, 75 clinicians

Practice addresses (Care Compare)

100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-2878

195 E Main St
Huntington, NY 11743-2957
Phone (914) 666-8866

2 Medical Park Dr
West Nyack, NY 10994-1965
Phone (201) 620-3010

210 E 64TH St
New York, NY 10065-7471
Phone (212) 838-9200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
267006-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of University Hospital, PC Anesthesiology CurrentSince Jun 17, 2018 Accepting new patients
Physicians of University Hospital, PC Current Accepting new patients
Physicians of University Hospital, PC Anesthesiology CurrentSince Jun 17, 2018 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
Ramapo Anesthesiologists, PC Anesthesiology PastSince Mar 5, 2007 Accepting new patients

Locations

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

210 E 64th St
Fl 5
New York, NY 10065
Phone (212) 434-2700

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

619 W 54th St
Fl 8
New York, NY 10019
Phone (212) 889-3142

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 6

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 1

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": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1033373568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SAINT MARKS PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112174843",
            "telephone_number": "917-620-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SAINT MARKS PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112174843",
            "telephone_number": "917-620-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JANE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "84846",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "267006-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.