Active NPI
Chung H. Kim MD, PC
- Gastroenterology Physician
- Pittsford, NY
National Provider Identifier
1528134657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- CHUNG H. KIM MD, PC
- Practice address
- 130 Office Park Way
Suite B
Pittsford, NY 14534-1700 - Phone
- (585) 381-1860
- Fax
- (585) 381-2269
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chung Hoon Kim, MD
- Title
- President
- Phone
- (585) 381-1860
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
130 Office Park Way
Suite B
Pittsford, NY 14534-1700
Mailing address
130 Office Park Way
Suite B
Pittsford, NY 14534-1700
Phone (585) 381-1860
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01340963 | Medicaid | NY | |
| 2308 | Other | NY | BLUE CROSS BLUE SHIELD |
| 000915215002 | Other | NY | HEALTH NOW |
| 101412BT | Other | NY | PREFERRED CARE |
| 7068140 | Other | NY | AETNA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1528134657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 OFFICE PARK WAY",
"address_2": "SUITE B",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145341700",
"telephone_number": "585-381-1860",
"fax_number": "585-381-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 OFFICE PARK WAY",
"address_2": "SUITE B",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145341700",
"telephone_number": "585-381-1860",
"fax_number": "585-381-2269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHUNG H. KIM MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "CHUNG",
"authorized_official_middle_name": "HOON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "585-381-1860",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01340963",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2308",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NOW",
"identifier": "000915215002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "101412BT",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7068140",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.