Active NPI
Hong Kim
- Psychiatric/Mental Health Nurse Practitioner
- Dobbs Ferry, NY
National Provider Identifier
1093205676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 402766
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9930425 | Other | 9930425 |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 402766 | NY | MD | Registered Nurse |
| 711302 | NY | MD | Home Health Registered Nurse |
| 166816 | CT | MD | Psychiatric/Mental Health Registered Nurse |
| 26NR18865500 | NJ | MD | Psychiatric/Mental Health Registered Nurse |
| 11875 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
| 26NJ01170200 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Homecare Services Corporation | Past | 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.
-
- Home Health Agency
- New City, NY
- NPI 1962673053
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.