Active NPI
Isaac Kim, MD
- Student in an Organized Health Care Education/Training Program
- Brooklyn, NY
National Provider Identifier
1245804111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1 Brookdale PLZ
Brooklyn, NY 11212-3198 - Phone
- (718) 240-5000
- Fax
- (718) 240-6757
- NPI assigned
- May 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 332166 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1 Brookdale PLZ
Brooklyn, NY 11212-3198
Mailing address
31 Woodruff Ave Apt 3J
Brooklyn, NY 11226-1385
Phone (917) 740-5469
Other practice location 1
26 Court St Ste 1921
Brooklyn, NY 11242-0103
Phone (917) 740-5469
Other practice location 2
26 Court St Ste 1001
Brooklyn, NY 11242-1110
Phone (917) 740-5469
Other practice location 3
31 Woodruff Ave Apt 3J
Brooklyn, NY 11226-1385
Phone (917) 740-5469
Other practice location 4
120 E 34th St Apt 11G
New York, NY 10016-4627
Phone (917) 740-5469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332166 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1245804111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 WOODRUFF AVE APT 3J",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112261385",
"telephone_number": "917-740-5469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BROOKDALE PLZ",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112123198",
"telephone_number": "718-240-5000",
"fax_number": "718-240-6757"
}
],
"practiceLocations": [
{
"address_1": "26 Court St Ste 1921",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112420103",
"country_code": "US",
"telephone_number": "917-740-5469",
"fax_number": "909-741-3558",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26 Court St Ste 1001",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112421110",
"country_code": "US",
"telephone_number": "917-740-5469",
"fax_number": "909-741-3558",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "31 Woodruff Ave Apt 3J",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112261385",
"country_code": "US",
"telephone_number": "917-740-5469",
"fax_number": "909-741-3558",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 E 34th St Apt 11G",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100164627",
"country_code": "US",
"telephone_number": "917-740-5469",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "ISAAC",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-16",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "332166",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"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 May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.