Individual provider Active NPI

Kim Quach, N.P.

  • Family Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1134502172
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340606-1 Issued in NY
Practice address
199 Scott St FL 8
Buffalo, NY 14204-2208
Phone
(917) 261-4414
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2377450 MA
Family Nurse Practitioner 363LF0000X 1144660 TX
Registered Nurse 163W00000X 850720 CA
Registered Nurse 163W00000X 041555192 IL
Registered Nurse 163W00000X 657159 NY
Family Nurse Practitioner 363LF0000X 277004046 IL
Registered Nurse 163W00000X 26NR18225600 NJ
Family Nurse Practitioner 363LF0000X F340606-1 NY Primary
Registered Nurse 163W00000X RN2377450 MA
Family Nurse Practitioner 363LF0000X 26NJ00639900 NJ
Family Nurse Practitioner 363LF0000X 11592 CT
Family Nurse Practitioner 363LF0000X 95025238 CA

Addresses

Primary practice location

199 Scott St FL 8
Buffalo, NY 14204-2208

Mailing address

199 Scott St FL 8
Buffalo, NY 14204-2208

Other practice location 1

1110 N Virgil Ave
Los Angeles, CA 90029-2016
Phone (917) 261-4414

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161114000753 NY Practitioner - Nurse Practitioner 6406135516 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
850720CAMDRegistered Nurse
203362CTMDRegistered Nurse
041555192ILMDRegistered Nurse
26NR18225600NJMDRegistered Nurse
657159NYMDRegistered Nurse
95025238CAMDFamily Nurse Practitioner
11592CTMDFamily Nurse Practitioner
209030518ILMDFamily Nurse Practitioner
RN2377450MAMDFamily Nurse Practitioner
F340606-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NYU Langone Hospitals CurrentSince Aug 1, 2016 Accepting new patients
NYU Langone Hospitals CurrentSince Aug 1, 2016 Accepting new patients
NYU Langone Hospitals Registered Nurse Current Accepting new patients
Eden Health Medical PC PastSince Nov 24, 2024 Accepting new patients
Eden Health Medical of Il LTD PastSince Nov 24, 2024 Accepting new patients

Locations

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

Interoperability endpoints

  • Direct secure messaging: kim.quach.1@15349.direct.athenahealth.com

Organizations & group practices 5

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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1134502172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 SCOTT ST FL 8",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142042208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 SCOTT ST FL 8",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142042208",
            "telephone_number": "917-261-4414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 N Virgil Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900292016",
            "country_code": "US",
            "telephone_number": "917-261-4414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUACH",
        "first_name": "KIM",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2377450",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1144660",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "850720",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041555192",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "657159",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277004046",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR18225600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340606-1",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2377450",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00639900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "11592",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.