Sooji Kim, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

006777 Issued in NY

Practice address

233 Broadway RM 1775
New York, NY 10279-1810

Phone

(212) 921-7900

NPI assigned

Nov 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skim677774@nychhc.direct-ci.com
• Direct secure messaging: skim20734@sbhny.direct-ci.net

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.

• Hudson Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
  • NPI 1871182071
  Medicare reassignment NPD Authorized official
• Bryant Park Podiatry

  • Podiatric Clinic/Center
  • New York, NY
  • NPI 1578294575
  NPD Authorized official

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1053717629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SARATOGA ST",
            "city": "TAPPAN",
            "state": "NY",
            "postal_code": "109832620",
            "telephone_number": "845-642-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 BROADWAY RM 1775",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102791810",
            "telephone_number": "212-921-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SOOJI",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "006777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04524594",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "006777",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soo Jin Kim, LMSW
• Soo Jung Kim, N.P.
• Soo Yeon Kim, M.D.
• Soo Young Kim
• Sooah Kim, M.D.
• Sookyung Choi Kim, DDS
• Sooyun Kim
• Sophia Kim, MD
• Soseul Kim
• Soyeon Kim

• Foot Surgery Podiatrist in New York, NY
• Providers in New York, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.

Verify at the official NPI Registry.