Individual provider Active NPI

Hong Kim

  • Psychiatric/Mental Health Nurse Practitioner
  • Dobbs Ferry, NY
National Provider Identifier
1093205676
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402766 Issued in NY
Practice address
145 Palisade St Ste 396
Dobbs Ferry, NY 10522-1694
Phone
(201) 969-5923
Fax
(212) 202-7873
NPI assigned
May 18, 2018
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01170200 NJ
Psychiatric/Mental Health Registered Nurse 163WP0808X 26NR18865500 NJ
Psychiatric/Mental Health Registered Nurse 163WP0808X 166816 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402766 NY Primary
Home Health Registered Nurse 163WH0200X 711302 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11875 CT

Addresses

Primary practice location

145 Palisade St Ste 396
Dobbs Ferry, NY 10522-1694

Mailing address

145 Palisade St Ste 396
Dobbs Ferry, NY 10522-1694
Phone (201) 969-5923

Other practice location 1

45 Fair St Ste 2
Wallingford, CT 06492-4208
Phone (201) 969-5923

Other practice location 2

194 N Harrison St Ste 1
Princeton, NJ 08540-3516
Phone (201) 969-5923

Other identifiers 1

IdentifierTypeStateIssuer
9930425Other9930425

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
402766NYMDRegistered Nurse
711302NYMDHome Health Registered Nurse
166816CTMDPsychiatric/Mental Health Registered Nurse
26NR18865500NJMDPsychiatric/Mental Health Registered Nurse
11875CTMDPsychiatric/Mental Health Nurse Practitioner
26NJ01170200NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Homecare Services Corporation PastSince Nov 10, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1093205676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PALISADE ST STE 396",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221694",
            "telephone_number": "201-969-5923",
            "fax_number": "212-202-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PALISADE ST STE 396",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221694",
            "telephone_number": "201-969-5923",
            "fax_number": "212-202-7873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Fair St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Wallingford",
            "state": "CT",
            "postal_code": "064924208",
            "country_code": "US",
            "telephone_number": "201-969-5923",
            "fax_number": "212-202-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "194 N Harrison St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085403516",
            "country_code": "US",
            "telephone_number": "201-969-5923",
            "fax_number": "212-202-7873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HONG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-18",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01170200",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NR18865500",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CT",
            "license": "166816",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402766",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "711302",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "11875",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "9930425",
            "identifier": "9930425",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.