Active NPI
Kim Quach, N.P.
- Family Nurse Practitioner
- Buffalo, NY
National Provider Identifier
1134502172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F340606-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 850720 | CA | MD | Registered Nurse |
| 203362 | CT | MD | Registered Nurse |
| 041555192 | IL | MD | Registered Nurse |
| 26NR18225600 | NJ | MD | Registered Nurse |
| 657159 | NY | MD | Registered Nurse |
| 95025238 | CA | MD | Family Nurse Practitioner |
| 11592 | CT | MD | Family Nurse Practitioner |
| 209030518 | IL | MD | Family Nurse Practitioner |
| RN2377450 | MA | MD | Family Nurse Practitioner |
| F340606-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NYU Langone Hospitals | Current | Accepting new patients | |
| NYU Langone Hospitals | Current | Accepting new patients | |
| NYU Langone Hospitals | Registered Nurse | Current | Accepting new patients |
| Eden Health Medical PC | Past | Accepting new patients | |
| Eden Health Medical of Il LTD | Past | 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
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.