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

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.

Title

Owner

Phone

(646) 642-7371

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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.