Individual provider Active NPI

John J Kim, MD

  • Ophthalmology Physician
  • Bronx, NY
National Provider Identifier
1114000635
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
218603 Issued in NY
Practice address
MMC - Dept. of Ophthalmology
3400 Bainbridge Avenue
Bronx, NY 10467
Phone
(718) 920-2020
NPI assigned
Oct 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 218603 NY Primary

Addresses

Primary practice location

MMC - Dept. of Ophthalmology
3400 Bainbridge Avenue
Bronx, NY 10467

Mailing address

2 Saw Mill Rd
New City, NY 10956-2308
Phone (718) 920-2020

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041108001165 NY Practitioner - Ophthalmology 9739142068 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Medical Doctors PLLCGroup PAC ID 5991935173, 115 clinicians

Practice addresses (Care Compare)

260 E Middle Country Rd
Suite 201
Smithtown, NY 11787-2925
Phone (631) 265-8780

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mignone Medical Eye Care, P.C. Ophthalmology CurrentSince Apr 1, 2023 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Nov 14, 2023 Accepting new patients
Sight Medical Doctors PLLC Ophthalmology CurrentSince Nov 14, 2023 Accepting new patients
Mignone Medical Eye Care, P.C. Ophthalmology CurrentSince Apr 1, 2023 Accepting new patients
Clearview Eye Surgery, PC Ophthalmology CurrentSince Jun 15, 2012 Accepting new patients
Montefiore Medical Center Ophthalmology Past Accepting new patients

Locations

3127 41st St
Astoria, NY 11103
Phone (212) 353-9443

1101 Pelham Pkwy N
Bronx, NY 10469
Phone (718) 515-3500

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

292 Katonah Ave
Unit 841
Katonah, NY 10536

202 Stevens Ave
Mount Vernon, NY 10550
Phone (914) 237-2002

1825 Riverside Dr
Apt 1B
New York, NY 10034
Phone (212) 304-2010

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114000635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SAW MILL RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562308",
            "telephone_number": "718-920-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MMC - DEPT. OF OPHTHALMOLOGY",
            "address_2": "3400 BAINBRIDGE AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-920-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "218603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.