Active NPI
Boram Kim
- Pulmonary Disease Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 284911
- Practice address
- 10 Union SQ E
New York, NY 10003-3314 - Phone
- (212) 420-2377
- Fax
- (212) 420-4684
- NPI assigned
- Apr 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 284911 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 284911 | NY | Primary |
Addresses
Primary practice location
10 Union SQ E
New York, NY 10003-3314
Mailing address
150 E 42ND St FL 9
New York, NY 10017-5699
Phone (646) 605-8186
Other practice location 1
1000 10th Ave
New York, NY 10019-1147
Phone (212) 523-7533
Other practice location 2
First Avenue at 16th Street
New York, NY 10003
Phone (212) 420-2377
Other practice location 3
310 E 14th St
New York, NY 10003-4284
Phone (212) 614-8288
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
- Pulmonary Disease
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Icahn School of Medicine at Mount Sinai
Practice addresses (Care Compare)
10 Union SQ E
New York, NY 10003-3314
Phone (212) 420-2377
Hospital & facility affiliations
- Mount Sinai Beth Israel
- Mount Sinai West
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 284911 | NY | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Critical Care Medicine | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Critical Care Medicine | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Bimc Faculty Practice | Past | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Critical Care Medicine | Past | Accepting new patients |
Locations
13620 38th Ave
Flushing, NY 11354
Phone (718) 353-7701
200 Old Country Rd
Mineola, NY 11501
Phone (516) 408-4900
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
310 E 14th St
New York, NY 10003
Phone (212) 979-4000
150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119
10 Union Sq E
New York, NY 10003
Phone (212) 253-6800
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 7
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.
-
- Pediatrics Physician
- New York, NY
- NPI 1275802811
-
- Surgery Physician
- New York, NY
- NPI 1770823551
-
- Critical Care Medicine (Anesthesiology) Physician
- New York, NY
- NPI 1215488127
-
- Pulmonary Disease Physician
- New York, NY
- NPI 1518228550
Critical Care Medicine
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Neurology Physician
- New York, NY
- NPI 1891848461
-
- Infectious Disease Physician
- New York, NY
- NPI 1659639524
Critical Care Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174689665
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1174768071
-
- Substance Use Disorder Rehabilitation Hospital Unit
- New York, NY
- NPI 1770951204
-
- General Acute Care Hospital
- New York, NY
- NPI 1104982917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1467871129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E 42ND ST FL 9",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100175699",
"telephone_number": "646-605-8186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 UNION SQ E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033314",
"telephone_number": "212-420-2377",
"fax_number": "212-420-4684"
}
],
"practiceLocations": [
{
"address_1": "1000 10th Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100191147",
"country_code": "US",
"telephone_number": "212-523-7533",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "First Avenue at 16th Street",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10003",
"country_code": "US",
"telephone_number": "212-420-2377",
"fax_number": "212-420-4684",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "310 E 14th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100034284",
"country_code": "US",
"telephone_number": "212-614-8288",
"fax_number": "212-614-8294",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "BORAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-10",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NY",
"license": "284911",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "284911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.