Active NPI
Inwoo Kim
- Adult Day Care Clinic/Center
- Flushing, NY
National Provider Identifier
1497421432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Practice address
- 14223 37TH Ave FL 1
Flushing, NY 11354-6508 - Phone
- (718) 785-6666
- NPI assigned
- Aug 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
14223 37TH Ave FL 1
Flushing, NY 11354-6508
Mailing address
27 Olive St
Lake Success, NY 11020-1626
Phone (718) 785-6666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1497421432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 OLIVE ST",
"city": "LAKE SUCCESS",
"state": "NY",
"postal_code": "110201626",
"telephone_number": "718-785-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14223 37TH AVE FL 1",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113546508",
"telephone_number": "718-785-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "INWOO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-19",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.