Organization Active NPI

John H. Kim, MD, PC

  • Gastroenterology Physician
  • Flushing, NY
National Provider Identifier
1306117726
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
192819 Issued in NY
Legal business name
JOHN H. KIM, MD, PC
Practice address
14325 41St Ave
Suite P-1
Flushing, NY 11355-1861
Phone
(718) 961-8852
NPI assigned
Jan 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Dr. John Ho Kim, MD
Title
President
Phone
(718) 961-8852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 192819 NY Primary

Addresses

Primary practice location

14325 41St Ave
Suite P-1
Flushing, NY 11355-1861

Mailing address

14325 41St Ave
Suite P-1
Flushing, NY 11355-1861
Phone (718) 961-8852

National Provider Directory

National Provider Directory

Locations

4515 162nd St
Ste 201
Flushing, NY 11358
Phone (718) 961-8852

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1306117726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14325 41ST AVE",
            "address_2": "SUITE P-1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551861",
            "telephone_number": "718-961-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14325 41ST AVE",
            "address_2": "SUITE P-1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551861",
            "telephone_number": "718-961-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H. KIM, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-961-8852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "192819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.