Individual provider Active NPI

Isaac Kim, MD

  • Student in an Organized Health Care Education/Training Program
  • Brooklyn, NY
National Provider Identifier
1245804111
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
332166NYMDPsychiatry 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.

Verify at the official NPI Registry.