Organization Active NPI

Mint Medical PLLC

  • Clinic/Center
  • New York, NY
National Provider Identifier
1053232256
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MINT MEDICAL PLLC
Practice address
1441 Broadway RM 2403
New York, NY 10018-0101
Phone
(212) 201-1043
NPI assigned
Jul 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Harim Kim, MD
Title
Managing Member
Phone
(781) 382-4460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1441 Broadway RM 2403
New York, NY 10018-0101

Mailing address

1441 Broadway RM 2403
New York, NY 10018-0101
Phone (212) 201-1043

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1053232256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 BROADWAY RM 2403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100180101",
            "telephone_number": "212-201-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 BROADWAY RM 2403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100180101",
            "telephone_number": "212-201-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HARIM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "781-382-4460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "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 Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.