Active NPI
Alice Kim
- Diagnostic Radiology Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD491841
- Practice address
- 593 Eddy St
Providence, RI 02903-4923 - Phone
- (401) 444-8450
- Fax
- (401) 444-5088
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD491841 | PA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | LP00500 | RI |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903-4923
Mailing address
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-8450
Other practice location 1
1250 S Cedar Crest Blvd
Allentown, PA 18103-6224
Phone (610) 402-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
Great Neck, NY 11020
Phone (844) 868-1001
1000 N Village Ave
Rockville Center, NY 11570-1000
Phone (718) 223-4685
1107 Grosser Rd
Gilbertsville, PA 19525-9228
1107 Grosser Rd 3Rd Floor
LVPG Rheumatology Gilbertsville
Gilbertsville, PA 19525-9228
Phone (610) 776-5038
1109 Grosser Rd
Gilbertsville, PA 19525-9228
Phone (484) 498-6060
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
1200 S Cedar Crest Blvd 3Rd FL Kasych
LVPG Burn Surgery
Allentown, PA 18103-6202
Phone (610) 402-8355
1200 S Cedar Crest Blvd FL
1 LVPG Nephrology
Allentown, PA 18103-6202
Phone (610) 402-8510
1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888
1240 S Cedar Crest Blvd
305 LVPG Hematology Oncology
Allentown, PA 18103-6370
Phone (610) 402-9050
1337 Blue Valley Dr
Pen Argyl, PA 18072-1815
14351 Kutztown Rd
Fleetwood, PA 19522-9273
Phone (610) 944-8800
1627 Chew St
Allentown, PA 18102-3648
Phone (610) 969-2226
1627 W Chew St 3Rd FL
LVPG Mental Health Clinic 17TH St
Allentown, PA 18102-3648
Phone (610) 402-1155
2101 Emerick Blvd
100 LVPG Family and Internal Medicine
Bethlehem, PA 18020-8040
Phone (610) 868-4000
2112 Middle Country Rd
Centereach, NY 11720-3519
Phone (631) 468-6900
2200 Northern Blvd
Greenvale, NY 11548-1220
300 Lackawanna Ave
Scranton, PA 18503-2001
Phone (570) 342-7864
320 W Pumping Station Rd
Quakertown, PA 18951-2345
320 W Pumping Station Road
3 LVPG Family Medicine Richland Township
Quakertown, PA 18951-2345
Phone (215) 529-4240
326 Washington St
Norwich, CT 06360-2740
Phone (203) 949-2700
3780 Hecktown Rd
Easton, PA 18045-2355
Phone (610) 333-8888
3794 Hecktown Rd
Easton, PA 18045-2355
500 Commack Rd
Unit 150C
Commack, NY 11725-5009
Phone (934) 223-7171
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD491841 | PA | MD | Diagnostic Radiology Physician |
| LP00500 | RI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| Meriden Imaging Center, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Midstate Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| Diagnostic Imaging Services of CT, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| St. Francis Cardiac Prevention Services PC | Diagnostic Radiology | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Medical Imaging of Lehigh Valley PC | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 96)
680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018
863 N Main Street Ext
Wallingford, CT 06492
101 N Plains Rd
Ste 1A-1
Wallingford, CT 06492
Phone (203) 265-0018
4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250
500 Commack Rd
Commack, NY 11725
Phone (516) 809-9666
128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
2200 Northern Blvd
Greenvale, NY 11548
Phone (516) 482-0080
2200 Northern Blvd
Ste 100C
Greenvale, NY 11548
Phone (516) 325-7400
2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910
510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626
4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260
16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
992 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-2910
1000 N Village Ave
#13202
Rockville Ctr, NY 11570
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- West Islip, NY
- NPI 1255962783
-
- Diagnostic Radiology Physician
- Melville, NY
- NPI 1376952804
-
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Diagnostic Radiology Physician
- Groton, CT
- NPI 1093760431
-
- Diagnostic Radiology Physician
- Wallingford, CT
- NPI 1508812561
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
- Interventional Cardiology Physician
- Roslyn, NY
- NPI 1881825701
-
- Cardiovascular Disease Physician
- Massapequa, NY
- NPI 1992048342
-
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
-
- General Acute Care Hospital
- East Stroudsburg, PA
- NPI 1568459436
-
- Psychiatric Hospital Unit
- Rockville Centre, NY
- NPI 1427017854
-
- Rehabilitation Hospital Unit
- Rockville Centre, NY
- NPI 1598724924
-
- General Acute Care Hospital
- Rockville Centre, NY
- NPI 1659330173
-
- General Acute Care Hospital
- Willimantic, CT
- NPI 1023191467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1316166531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-8450",
"fax_number": "401-444-5088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-8450",
"fax_number": "401-444-5088"
}
],
"practiceLocations": [
{
"address_1": "1250 S Cedar Crest Blvd",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181036224",
"country_code": "US",
"telephone_number": "610-402-8900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "ALICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD491841",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "RI",
"license": "LP00500",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.