Active NPI
Eden Kim
- Emergency Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 289581
- Practice address
- 450 Clarkson Ave
Brooklyn, NY 11203 - Phone
- (718) 245-3318
- NPI assigned
- Jul 1, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 289581 | NY | Primary |
Addresses
Primary practice location
450 Clarkson Ave
Brooklyn, NY 11203
Mailing address
355 Stafford Ave
Staten Island, NY 10312-2856
Phone (718) 966-7440
Other practice location 1
301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.85 of 100
- Quality
- 79.23
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 76.36
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates, P.a.,P.C. | Current | Accepting new patients | |
| Buffalo Emergency Associates LLP | Emergency Medicine | Current | Accepting new patients |
| United Medical Associates PC | Current | Accepting new patients | |
| University Hospital of Brooklyn Suny Downstate Health Sciences Univers | Current | Accepting new patients | |
| The Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Siena Emergency Medical Services, P.C. | Emergency Medicine | Current | Accepting new patients |
| Emergency Care Services of New York, P.C. | Emergency Medicine | Current | Accepting new patients |
| Alexandria Springfield Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Alexandria Springfield Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Suny Health Science Center at Bklyn | Emergency Medicine | Current | Accepting new patients |
| Optum Urgent Care, PLLC | Current | Accepting new patients | |
| State of New York Comptrollers Office | Current | Accepting new patients | |
| Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Edwards MD PC | Emergency Medicine | Current | Accepting new patients |
| United Medical Associates, P.C. | Current | Accepting new patients | |
| Port Emergency Medical Services, P.C. | Emergency Medicine | Current | Accepting new patients |
Locations
1155 Raiders Way
Henderson, NV 89052
Phone (702) 369-7671
470 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 421-1003
1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212
1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143
450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603
565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000
2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020
3669 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 662-0500
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
Organizations & group practices 19
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.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
-
- Emergency Medicine Physician
- Williamsville, NY
- NPI 1508816521
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1639236656
-
- Urgent Care Clinic/Center
- Jericho, NY
- NPI 1285975797
-
- Emergency Medicine Physician
- Port Jefferson, NY
- NPI 1912988395
-
- Emergency Medicine Physician
- Smithtown, NY
- NPI 1356507099
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1588077994
-
- Clinic/Center
- Binghamton, NY
- NPI 1013972801
-
- Emergency Medicine Physician
- Franklin, VA
- NPI 1740529700
-
- Emergency Medicine Physician
- Henderson, NV
- NPI 1902642994
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1740853340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1477969269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 STAFFORD AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103122856",
"telephone_number": "718-966-7440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-245-3318"
}
],
"practiceLocations": [
{
"address_1": "301 Prospect Ave",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132031807",
"country_code": "US",
"telephone_number": "315-448-5101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "EDEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-01",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "289581",
"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 Jul 26, 2018; 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.