Dr. P.Kim Podiatry, P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

006427 Issued in NY

Legal business name

DR. P.KIM PODIATRY, P.C.

Practice address

6083 Myrtle Ave
Ridgewood, NY 11385-5908

Phone

(718) 381-8402

Fax

(718) 497-7322

NPI assigned

Jan 28, 2016

Organization subpart

No

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

Authorized official

Name

Paul Y Kim, D.P.M.NPI 1831477280

Title

President

Phone

(267) 979-9670

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Dr. P.Kim Podiatry, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Ridgewood, NY
  • NPI 1164012746

  7517256332

  Same PAC ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Y Kim, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Ridgewood, NY
  • NPI 1831477280
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1396102828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18820B 69TH AVE APT 3B",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653705",
            "telephone_number": "267-979-9670",
            "fax_number": "888-720-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6083 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855908",
            "telephone_number": "718-381-8402",
            "fax_number": "718-497-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. P.KIM PODIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-979-9670",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03450300",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent John Dorotan
• Doru Buza MD
• Megan Downing
• Dr. Fernandez Dental Office
• Dr. P.Kim Podiatry, P.C.
• Dr. Ravi Medical PC
• Duane Reade (Duane Reade #14179)
• Duane Reade (Duane Reade #14314)
• Thomas Dube, PA
• Liana Viorica Dumitru, GENERAL DENTIST

• Foot & Ankle Surgery Podiatrist in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.