Angelo Kim, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

6868 Issued in NY

Practice address

37 W 32ND St FL 4
New York, NY 10001-3866

Phone

(917) 797-7000

NPI assigned

Oct 19, 2021

Last updated

Nov 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1356004071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 MARION LN",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W 32ND ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013866",
            "telephone_number": "917-797-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Fulton St Apt 4H",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100382718",
            "country_code": "US",
            "telephone_number": "201-574-6897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "ANGELO",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-11-08",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00156100",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "6868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Kim, MD
• Andrew Chaehwan Kim, L.AC.
• Andrew Ki-Myung Kim, D.D.S.
• Andrew Yang Kim
• Angela H Kim
• Annabel Kim, PA-C
• Anne Kim, NP
• Annette Kim
• Annie Kim, OD
• Annie Juhae Kim, MD

• Acupuncturist in New York, NY
• Providers in New York, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.