Kim's Orthopedic Shoes,Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KIM'S ORTHOPEDIC SHOES,INC

Practice address

15603 Northern Blvd
Flushing, NY 11354-5033

Phone

(718) 661-2001

Fax

(718) 661-1072

NPI assigned

Nov 17, 2006

Last updated

Jul 18, 2008By 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

Mr. Ki H Kim

Title

President

Phone

(718) 661-2001

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.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1235203852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15603 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545033",
            "telephone_number": "718-661-2001",
            "fax_number": "718-661-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15603 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545033",
            "telephone_number": "718-661-2001",
            "fax_number": "718-661-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM'S ORTHOPEDIC SHOES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-661-2001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01588563",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yongha Kim, PT
• Yoojin Kim, MD
• Young Ju Kim, C.R.N.A.
• Yu Kim, RPH.
• Yu Jin Kim
• Ekaterina Kimatova
• David W Kimm, MD
• Kims Pharmacy Inc. (Joa Pharmacy)
• Kind Strategies Inc.
• Kindred Spirits Occupational Therapy PLLC (Kindred Spirits OT PLLC)

• Durable Medical Equipment & Medical Supplies in Flushing, NY
• Providers in Flushing, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.