David An-Moo Rim, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

129036 Issued in NY

Practice address

42-21 162ND Street
Flushing, NY 11358

Phone

(718) 463-0101

Fax

(914) 713-0036

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

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.

• Mihail Medvedovsky Physician PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1942304001
  Medicare reassignment NPD
• Total Medical PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1811006083
  NPD
• Empire Medical of Rockaway Beach

  • Primary Care Clinic/Center
  • Rockaway Beach, NY
  • NPI 1013284710
  NPD (past)
• Lenox Hill Interventional Cardiac & Vascular Services PC

  • Interventional Cardiology Physician
  • New York, NY
  • NPI 1265452015
  NPD (past)
• Union Square Medical Imaging and Mammography PC

  • Mammography Clinic/Center
  • New York, NY
  • NPI 1912037102
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1467534131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 162ND ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113584150",
            "telephone_number": "718-463-0101",
            "fax_number": "914-713-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42-21 162ND STREET",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11358",
            "telephone_number": "718-463-0101",
            "fax_number": "914-713-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIM",
        "first_name": "DAVID",
        "middle_name": "AN-MOO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "129036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00585846",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rich Occupational Therapy PC
• Richard J Gochman, DDS, PC
• Chana Richter
• Sandra Annette Riffkin, OTR/L
• Right Step Physical Therapy, P.C.
• Bernard Rimler, M.D.
• Deborah Rimler, M.D.
• Rachael Rimler
• Bobbi N Ring, MD
• Elizabeth Ring, MS/NP

• Cardiovascular Disease Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.