Active NPI
Hanyoung Kim, RN
- Registered Nurse
- New York, NY
National Provider Identifier
1043026032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 652385
- Practice address
- 622 W 168TH St PH 14-104
New York, NY 10032-3720 - Phone
- (212) 305-7771
- Fax
- (212) 305-9662
- NPI assigned
- Dec 5, 2024
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 652385 | NY | Primary |
Addresses
Primary practice location
622 W 168TH St PH 14-104
New York, NY 10032-3720
Mailing address
622 W 168TH St # 14-104
New York, NY 10032-3720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 652385 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1043026032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 W 168TH ST # 14-104",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 W 168TH ST PH 14-104",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720",
"telephone_number": "212-305-7771",
"fax_number": "212-305-9662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HANYOUNG",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "U",
"enumeration_date": "2024-12-05",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "652385",
"primary": true
}
],
"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 Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.