Individual provider Active NPI

Christine Kimble, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1285696260
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
161282 Issued in NY
Practice address
300 Cadman PLZ W
17TH & 18TH Floors
Brooklyn, NY 11201-2701
Phone
(929) 210-6010
Fax
(929) 210-6001
NPI assigned
Apr 5, 2006
Last updated
Oct 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 161282 NY Primary

Addresses

Primary practice location

300 Cadman PLZ W
17TH & 18TH Floors
Brooklyn, NY 11201-2701

Mailing address

300 Cadman Plaza West
Brooklyn, NY 11201
Phone (929) 210-6000

Other identifiers 1

IdentifierTypeStateIssuer
01249123MedicaidNY

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

OrganizationSpecialtyStatusNew patients
Westchester Medical Group, P.C. Past Accepting new patients
New York Gastroenterology Associates LLP PastSince Jun 15, 2021 Accepting new patients
Suny Health Science Center at Brooklyn Past Accepting new patients
Medicine Associates at Lich Internal Medicine Past Accepting new patients
Fpa Hospital Based Past Accepting new patients

Organizations & group practices 5

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1285696260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CADMAN PLAZA WEST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "929-210-6000",
            "fax_number": "929-210-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CADMAN PLZ W",
            "address_2": "17TH & 18TH FLOORS",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012701",
            "telephone_number": "929-210-6010",
            "fax_number": "929-210-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "161282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01249123",
            "state": "NY"
        }
    ],
    "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 Oct 14, 2013; 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.