Active NPI
Myung Sook Kim, MD
- Pulmonary Disease Physician
- New York, NY
National Provider Identifier
1255407433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 163441
- Practice address
- 200 West 86TH Street
Suite 1 I
New York, NY 10024-3303 - Phone
- (212) 873-0800
- Fax
- (212) 724-6158
- NPI assigned
- Nov 28, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 163441 | NY | Primary |
Addresses
Primary practice location
200 West 86TH Street
Suite 1 I
New York, NY 10024-3303
Mailing address
200 West 86TH Street
Suite 1 I
New York, NY 10024-3303
Phone (212) 873-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01187315 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent's Midtown Hospital | Past | Accepting new patients | |
| Cross Park Medical PLLC | Pulmonary Disease | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- New York, NY
- NPI 1124136403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255407433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WEST 86TH STREET",
"address_2": "SUITE 1 I",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243303",
"telephone_number": "212-873-0800",
"fax_number": "212-724-6158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WEST 86TH STREET",
"address_2": "SUITE 1 I",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243303",
"telephone_number": "212-873-0800",
"fax_number": "212-724-6158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "MYUNG",
"middle_name": "SOOK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "163441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01187315",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.