Premier Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

209364 Issued in NY

Legal business name

PREMIER FAMILY MEDICINE PC

Practice address

86-35 Queens Blvd
1-E
Elmhurst, NY 11373

Phone

(718) 205-4544

Fax

(718) 205-5594

NPI assigned

Jul 31, 2007

Last updated

Jan 25, 2013By 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

Dr. Yong R Kim, M.D.NPI 1629067483

Title

President

Phone

(718) 205-4544

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBEDCA

Practitioners 2

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.

• Yong R Kim, M.D.

  • Family Medicine Physician
  • Elmhurst, NY
  • NPI 1629067483
  Medicare reassignment NPD Authorized official
• Poyoon Choi, PH.D.

  • Clinical Psychologist
  • Elmhurst, NY
  • NPI 1003830944
  NPD (past)

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1225228778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86-35 QUEENS BLVD",
            "address_2": "1-E",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-205-4544",
            "fax_number": "718-205-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-35 QUEENS BLVD",
            "address_2": "1-E",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-205-4544",
            "fax_number": "718-205-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-205-4544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "209364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-MEDICARE",
            "identifier": "06378",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sloan Addison Silverman Post
• Paul Adrian Powell, P.A
• Tanuja Arina Prakash
• Prashasti Prasad
• Shailly Prasad, MD
• Lara Price, LCSW
• Olgia Prifti
• Primacare Family Medicine PLLC
• Alicia Primus
• Privilege Care Medical Center

• Family Medicine Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.