Stanley-Sangwook Kim D.O. PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

238366 Issued in NY

Legal business name

STANLEY-SANGWOOK KIM D.O. PC

Practice address

3834 Parsons Blvd
Suite 1a
Flushing, NY 11354-5832

Phone

(646) 642-7371

Fax

(718) 961-4603

NPI assigned

Apr 23, 2009

Last updated

Apr 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stanley-Sangwook Kim, D.O.NPI 1902815087

Title

Owner

Phone

(646) 642-7371

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stanley-Sangwook Kim, D.O.

  • Surgery Physician
  • Flushing, NY
  • NPI 1902815087
  Authorized official Same address or phone
• Jung-Ah Han, MD

  • Internal Medicine Physician
  • Great Neck, NY
  • NPI 1558586099
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1306080163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3372 170TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581812",
            "telephone_number": "646-642-7371",
            "fax_number": "718-961-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3834 PARSONS BLVD",
            "address_2": "SUITE 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545832",
            "telephone_number": "646-642-7371",
            "fax_number": "718-961-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY-SANGWOOK KIM D.O. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "STANLEY-SANGWOOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-642-7371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "238366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.