Baruch Kim, D.O

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A291863-01 Issued in NY

Practice address

39 W 14TH St Ste 205
New York, NY 10011-7406

Phone

(646) 725-4600

NPI assigned

Apr 9, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Wellness Medical Nyc PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New York, NY
  • NPI 1649111220
  NPD Authorized official
• Baruch Medical PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Englewood Cliffs, NJ
  • NPI 1891482527
  NPD Authorized official

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1164818779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 160TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582522",
            "telephone_number": "917-362-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 W 14TH ST STE 205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117406",
            "telephone_number": "646-725-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 W 34th St # 402A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100013011",
            "country_code": "US",
            "telephone_number": "646-725-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "BARUCH",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-09",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "A291863-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Kim, LDN
• Ashley Eun Hae Kim
• Ashley Haewon Kim
• Ashley Jina Kim
• Autumn Kim
• Benjamin Woosang Kim
• Bethany Purnell Kim, MS, PA-C
• Bette Kim, M.D.
• Billy Insup Kim
• Bo NA Kim, D.D.S.

• Physical Medicine & Rehabilitation Physician in New York, NY
• Providers in New York, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.