Active NPI
Alvin Kim, M.D.
- Anesthesiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA11048300
- Practice address
- 622 W 168TH St
PH5-133 Stem
New York, NY 10032-3720 - Phone
- (212) 342-5525
- Fax
- (212) 305-3204
- NPI assigned
- Mar 22, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA11048300 | NJ | Primary |
Addresses
Primary practice location
622 W 168TH St
PH5-133 Stem
New York, NY 10032-3720
Mailing address
2301 E St NW
Apt A613
Washington, DC 20037-2829
Phone (323) 533-3398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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
- Anesthesiology
- Education
- George Washington University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Hospital & facility affiliations
- Robert Wood Johnson University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11048300 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Rutgers Health-RWJ Primary Medicine Group | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Pediatric Critical Care | Anesthesiology | Current | Accepting new patients |
Locations
125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060
125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561
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.
-
- Family Medicine Physician
- New Brunswick, NJ
- NPI 1780766527
-
- Allergy & Immunology (Internal Medicine) Physician
- New Brunswick, NJ
- NPI 1679655781
-
- Anesthesiology Physician
- New Brunswick, NJ
- NPI 1861414989
-
- Internal Medicine Physician
- New Brunswick, NJ
- NPI 1992887012
-
- Psychiatry Physician
- Piscataway, NJ
- NPI 1033207378
-
- Medical Oncology Physician
- New Brunswick, NJ
- NPI 1518904929
-
- Radiation Oncology Physician
- New Brunswick, NJ
- NPI 1942249909
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1497117121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 E ST NW",
"address_2": "APT A613",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200372829",
"telephone_number": "323-533-3398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 W 168TH ST",
"address_2": "PH5-133 STEM",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720",
"telephone_number": "212-342-5525",
"fax_number": "212-305-3204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ALVIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2024-04-30",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA11048300",
"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 Apr 30, 2024; 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.