Active NPI
Dosik Kim, M.D.
- Pulmonary Disease Physician
- Staten Island, NY
National Provider Identifier
1336237817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 309099
- Practice address
- 5947 Amboy Rd
Staten Island, NY 10309-3118 - Phone
- (718) 605-2970
- Fax
- (718) 605-7180
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 309099 | NY | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 309099 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 309099 | NY | Primary |
Addresses
Primary practice location
5947 Amboy Rd
Staten Island, NY 10309-3118
Mailing address
5947 Amboy Rd
Staten Island, NY 10309-3118
Phone (718) 605-2970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015608900001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5947 Amboy Rd
Staten Island, NY 10309-3118
Phone (718) 605-2970
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Insomnia & Sleep Medicine,PLLC | Critical Care Medicine | Current | Accepting new patients |
| Northeast Insomnia and Sleep Medicine,PLLC | Critical Care Medicine | Current | Accepting new patients |
| Ahmed Aly Abdelfadil Physician PC | Critical Care Medicine | Current | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Staten Island, NY
- NPI 1194736132
Critical Care Medicine
-
- Pulmonary Disease Physician
- Kew Gardens, NY
- NPI 1639385727
Critical Care Medicine
-
- Pulmonary Disease Physician
- Staten Island, NY
- NPI 1447261870
Critical Care Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1336237817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5947 AMBOY RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103093118",
"telephone_number": "718-605-2970",
"fax_number": "718-605-7180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5947 AMBOY RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103093118",
"telephone_number": "718-605-2970",
"fax_number": "718-605-7180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DOSIK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NY",
"license": "309099",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "NY",
"license": "309099",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "309099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015608900001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.