Active NPI
Takami Kim, MS, RD
- Registered Dietitian
- New York, NY
National Provider Identifier
1376721811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 005270
- Practice address
- 525 E 68TH St
Greenberg Pavilion RM 10-171
New York, NY 10065-4870 - Phone
- (212) 746-0838
- Fax
- (516) 437-4167
- NPI assigned
- Feb 7, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 005270 | NY | Primary |
Addresses
Primary practice location
525 E 68TH St
Greenberg Pavilion RM 10-171
New York, NY 10065-4870
Mailing address
PO Box 27842
New York, NY 10087-7842
Phone (718) 670-1651
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005270 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1376721811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27842",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100877842",
"telephone_number": "718-670-1651",
"fax_number": "516-437-4167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 68TH ST",
"address_2": "GREENBERG PAVILION RM 10-171",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100654870",
"telephone_number": "212-746-0838",
"fax_number": "516-437-4167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "TAKAMI",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-07",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005270",
"primary": true
}
],
"identifiers": [],
"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 Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.