Active NPI
Victor Kim, RN
- Home Health Registered Nurse
- Brooklyn, NY
National Provider Identifier
1396112975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 666202
- Practice address
- 1877 E 12TH St
Apt 5F
Brooklyn, NY 11229-2765 - Phone
- (347) 296-7152
- NPI assigned
- Aug 30, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 666202 | NY | Primary |
Addresses
Primary practice location
1877 E 12TH St
Apt 5F
Brooklyn, NY 11229-2765
Mailing address
1877 E 12TH St
Apt 5F
Brooklyn, NY 11229-2765
Phone (347) 296-7152
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 666202 | NY | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1396112975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1877 E 12TH ST",
"address_2": "APT 5F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112292765",
"telephone_number": "347-296-7152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1877 E 12TH ST",
"address_2": "APT 5F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112292765",
"telephone_number": "347-296-7152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "VICTOR",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-30",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "666202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.