Irine Kim, M.D. P.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

215522 Issued in NY

Legal business name

IRINE KIM, M.D. P.C.

Practice address

492 Old Courthouse Rd
Manhasset Hills, NY 11040-1142

Phone

(631) 271-9151

Fax

(631) 271-9155

NPI assigned

Oct 4, 2015

Organization subpart

No

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

Authorized official

Name

Irine Kim, M.D.

Title

Owner

Phone

(631) 271-9151

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1443916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443916800000",
    "number": "1306216262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 OLD COURTHOUSE RD",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110401142",
            "telephone_number": "631-271-9151",
            "fax_number": "631-271-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 OLD COURTHOUSE RD",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110401142",
            "telephone_number": "631-271-9151",
            "fax_number": "631-271-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRINE KIM, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-04",
        "last_updated": "2015-10-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "IRINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-271-9151",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "215522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "215522-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley H Hakimian, M.A. CF-SLP, TSSLD
• Konstantinos Harogiannis
• Heritage Psychiatry Services, P.C.
• Hope'S Place Speech Language Pathology Services, P.C.
• John Philip Incao, DDS
• Gina T Jacob, DOCTORATE
• Steven Jacob
• Christna T Jose, RPH
• Alexa Kalaygian
• Mary Kampas Araujo, MA, CCC-SLP

• Cardiovascular Disease Physician in Manhasset Hills, NY
• Providers in Manhasset Hills, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2015; 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.