Individual provider Active NPI

Janet Kim, AU.D.

  • Audiologist
  • New York, NY
National Provider Identifier
1275261018
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
003222 Issued in NY
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240209001537 NY Practitioner - Qualified Speech Language Pathologist 9638545569 Reassigns benefits to 1 organization
I20240430001993 NY Practitioner - Qualified Audiologist 9638545569 Reassigns benefits to 1 organization

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
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

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 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003222NYMDAudiologist
2201001890VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Dec 30, 2023 Accepting new patients
Otolaryngology Associates, PC CurrentSince Jul 5, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Dec 30, 2023 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.

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.

Verify at the official NPI Registry.