Organization Active NPI

Grace Kim SLP LLC

  • Speech-Language Pathologist
  • Bronx, NY
National Provider Identifier
1437492303
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013621 Issued in NY
Legal business name
GRACE KIM SLP LLC
Practice address
5714 Post Rd
Bronx, NY 10471-2210
Phone
(646) 509-4611
NPI assigned
Mar 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Authorized official

Name
Mrs. Grace N. Kim, MA, CCC-SLP
Title
Speech Languagea Pathologist
Phone
(646) 509-4611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 013621 NY Primary

Addresses

Primary practice location

5714 Post Rd
Bronx, NY 10471-2210

Mailing address

5714 Post Rd
Bronx, NY 10471-2210
Phone (646) 509-4611

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1437492303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5714 POST RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104712210",
            "telephone_number": "646-509-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5714 POST RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104712210",
            "telephone_number": "646-509-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE KIM SLP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "SPEECH LANGUAGEA PATHOLOGIST",
        "authorized_official_telephone_number": "646-509-4611",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.