Active NPI
Hyesung Kim, MD
- Student in an Organized Health Care Education/Training Program
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3424 Kossuth Ave
Bronx, NY 10467-2489 - Phone
- (718) 519-3817
- NPI assigned
- Jun 22, 2021
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3424 Kossuth Ave
Bronx, NY 10467-2489
Mailing address
3424 Kossuth Ave
Bronx, NY 10467-2489
Phone (718) 519-3817
Other names 1
- Hye Sung Kim
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2758 Middle Country Rd
Lake Grove, NY 11755-2118
900 Main St
New York, NY 10044-0066
Hospital & facility affiliations
- Coler Rehabilitation and Nursing Care Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 335109 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Coler Rehabilitation and Nursing Care Center | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients |
Locations
3424 Kossuth Ave
Bronx, NY 10467
Phone (718) 519-3972
594 Albany Ave
Brooklyn, NY 11203
Phone (646) 694-6680
50 Water St
Fl 3
New York, NY 10004
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- New York, NY
- NPI 1467343178
-
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Skilled Nursing Facility
- New York, NY
- NPI 1679581607
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- New York, NY
- NPI 1679581607
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1467021683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3424 KOSSUTH AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104672489",
"telephone_number": "718-519-3817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3424 KOSSUTH AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104672489",
"telephone_number": "718-519-3817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HYESUNG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HYE SUNG",
"last_name": "KIM",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
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 Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.