Active NPI
Hae Ahm Kim, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1336586916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 098648
- Practice address
- 230 East 73Rd Street
Suite 1a
New York, NY 10021 - Phone
- (212) 879-2322
- NPI assigned
- May 23, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 098648 | NY | Primary |
Addresses
Primary practice location
230 East 73Rd Street
Suite 1a
New York, NY 10021
Mailing address
230 East 73Rd Street
Suite 1a
New York, NY 10021
Phone (212) 879-2322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168185-4 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098648 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369267200000",
"number": "1336586916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 EAST 73RD STREET",
"address_2": "SUITE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-879-2322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 EAST 73RD STREET",
"address_2": "SUITE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-879-2322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HAE",
"middle_name": "AHM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-23",
"last_updated": "2013-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "098648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "168185-4",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.