Young W. Kim

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

151047 Issued in NY

Legal business name

YOUNG W. KIM

Practice address

3130 Grandconcourse 1N
Bronx, NY 10458

Phone

(718) 561-8499

NPI assigned

Sep 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Young KimNPI 1639343411

Title

MD

Phone

(718) 365-0892

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Young Whan Kim

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1639343411
  Authorized official Same address or phone

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134210339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 GRANDCONCOURSE 1N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10458",
            "telephone_number": "718-561-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 GRANDCONCOURSE 1N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10458",
            "telephone_number": "718-561-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG W. KIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-365-0892"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "151047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00844922",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Youn
• Ina Youn
• Owen E Youn, DOCTOR OF PHARMACY
• Young Adult Institute, Inc.
• Young Adult Institute, Inc.
• Seantae Young-Medina
• Anna N Young, DDS, MD
• Hugh Howard Young, MD
• Inez Young
• Jacinth Andrea Young, LPN

• Primary Care Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.