Active NPI
Hyunchu Kim-Gold
- Family Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 339093
- Practice address
- 100 E 77TH St
New York, NY 10075-1850 - Phone
- (212) 434-2710
- NPI assigned
- Jan 21, 2015
- Last updated
- Jan 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ15115100 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 339093 | NY | Primary |
| Emergency Registered Nurse | 163WE0003X | 612489 | NY |
Addresses
Primary practice location
100 E 77TH St
New York, NY 10075-1850
Mailing address
200 Community Dr
Great Neck, NY 11021-5510
Phone (212) 434-2710
Other practice location 1
400 Sylvan Ave Ste 108
Englewood Cliffs, NJ 07632-2717
Phone (201) 408-5314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27005 76TH Ave
Mhg069
New Hyde Park, NY 11040-1402
Phone (718) 470-7848
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 612489 | NY | MD | Emergency Registered Nurse |
| 26NJ15115100 | NJ | MD | Family Nurse Practitioner |
| 339093 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Hudson MD Group | Current | Accepting new patients | |
| Functional Nurse Practitioner in Family Health | Family | Current | Accepting new patients |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| David W. Lee MD PA | Past | Accepting new patients |
Locations
400 Sylvan Ave
Ste 108
Englewood Cliffs, NJ 07632
Phone (201) 408-5314
1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011
13617 39th Ave
Fl 4
Flushing, NY 11354
Phone (718) 559-3600
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
300 Community Dr
Manhasset, NY 11030
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
130 E 77th St
Fl 3
New York, NY 10075
Phone (212) 434-3691
2 W 32nd St
Ste 602
New York, NY 10001
Phone (201) 774-8275
378 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-1850
2 Medical Park Dr
Ste 7
West Nyack, NY 10994
Phone (201) 206-2006
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- hkimgold61070@northwell.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Family Medicine Physician
- Englewood Cliffs, NJ
- NPI 1497301998
-
- Family Nurse Practitioner
- New York, NY
- NPI 1619862943
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Adult Medicine Physician
- Fort Lee, NJ
- NPI 1932394079
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1033508551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 COMMUNITY DR",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215510",
"telephone_number": "212-434-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E 77TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751850",
"telephone_number": "212-434-2710"
}
],
"practiceLocations": [
{
"address_1": "400 Sylvan Ave Ste 108",
"address_purpose": "LOCATION",
"city": "Englewood Cliffs",
"state": "NJ",
"postal_code": "076322717",
"country_code": "US",
"telephone_number": "201-408-5314",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM-GOLD",
"first_name": "HYUNCHU",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-21",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ15115100",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "339093",
"primary": true
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "NY",
"license": "612489",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.