Active NPI
Janet Kim, AU.D.
- Audiologist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 003222
- Practice address
- 1305 York Ave FL 5
New York, NY 10021-5663 - Phone
- (646) 962-2231
- NPI assigned
- Aug 10, 2022
- Last updated
- Apr 23, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201001890 | VA | |
| Audiologist | 231H00000X | 003222 | NY | Primary |
Addresses
Primary practice location
1305 York Ave FL 5
New York, NY 10021-5663
Mailing address
4364 High Oak LN
Fairfax, VA 22030-5183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1305 York Ave
Suite 5
New York, NY 10021-5663
Phone (646) 962-4710
428 E 72ND St
Ofc 100
New York, NY 10021-4635
Phone (646) 962-2224
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003222 | NY | MD | Audiologist |
| 2201001890 | VA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Otolaryngology Associates, PC | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Cornell University Medical College | Past | Accepting new patients |
Locations
156 William St
Fl 12
New York, NY 10038
Phone (464) 962-2020
428 E 72nd St
Ofc 100
New York, NY 10021
Phone (212) 746-3576
1305 York Ave
Fl 5
New York, NY 10021
Phone (646) 962-2231
1305 York Ave
#5
New York, NY 10021
Phone (212) 746-2281
3801 University Dr
Ste 300
Fairfax, VA 22030
Phone (703) 383-8130
3801 University Dr
#300
Fairfax, VA 22030
Phone (703) 383-8130
3801 University Dr
#200
Fairfax, VA 22030
1850 Town Center Pkwy
#305
Reston, VA 20190
Phone (703) 834-2900
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 4
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.
-
dba Cornell Otolarynology
- Otolaryngology Physician
- New York, NY
- NPI 1669480117
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Otolaryngology Physician
- Fairfax, VA
- NPI 1861534836
-
- Women's Hospital
- New York, NY
- NPI 1538141536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1275261018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4364 HIGH OAK LN",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220305183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 YORK AVE FL 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215663",
"telephone_number": "646-962-2231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JANET",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2024-04-23",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201001890",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "003222",
"primary": true
}
],
"identifiers": [],
"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 Apr 23, 2024; 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.