Active NPI
Eun Hye Kim
- Pediatric Clinical Nurse Specialist
- Brooklyn, NY
National Provider Identifier
1235560343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Clinical Nurse Specialist
- License
- 382390
- Practice address
- 16 Sumner PL
Brooklyn, NY 11206-4110 - Phone
- (718) 336-9500
- Fax
- (718) 336-9505
- NPI assigned
- Nov 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Clinical Nurse Specialist | 364SP0200X | 382390 | NY | Primary |
Addresses
Primary practice location
16 Sumner PL
Brooklyn, NY 11206-4110
Mailing address
16 Sumner PL
Brooklyn, NY 11206-4110
Phone (718) 336-9500
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250211000726 | NY | Order and Referring Only - Nurse Practitioner | 5294004388 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 382390 | NY | MD | Pediatric Clinical Nurse Specialist |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1235560343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 SUMNER PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112064110",
"telephone_number": "718-336-9500",
"fax_number": "718-336-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 SUMNER PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112064110",
"telephone_number": "718-336-9500",
"fax_number": "718-336-9505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "EUN HYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-29",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Pediatrics",
"state": "NY",
"license": "382390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.