Active NPI
Youngsook Cathy Kim, MD
- Pediatric Pulmonology Physician
- Hawthorne, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 220079
- Practice address
- 19 Bradhurst Ave
Ste. 1400
Hawthorne, NY 10532-2140 - Phone
- (914) 493-7585
- Fax
- (914) 594-4336
- NPI assigned
- Aug 22, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | 220079 | NY | Primary |
Addresses
Primary practice location
19 Bradhurst Ave
Ste. 1400
Hawthorne, NY 10532-2140
Mailing address
22 Saw Mill River Rd
Hawthorne, NY 10532-1533
Phone (914) 493-7585
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
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19 Bradhurst Ave
Suite 1400
Hawthorne, NY 10532-2144
Phone (914) 493-7620
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| Metropolitan Medical Practice Plan PC | Current | Accepting new patients | |
| Boston Children's Health Physicians, LLP | Pediatric Pulmonology | Current | Accepting new patients |
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Westchester County Health Care Corporation | Past | Accepting new patients |
Locations
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
19 Bradhurst Ave
Ste 1400
Hawthorne, NY 10532
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
22 Saw Mill River Rd
Hawthorne, NY 10532
1901 1st Ave
New York, NY 10029
Phone (212) 230-6262
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ycathy.kim.p1@direct.cwpw.nextgenshare.com
- ykim839683@nychhc.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
Pediatric Pulmonology
-
- General Practice Physician
- New York, NY
- NPI 1306138383
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
dba Boston Childrens Health Physicians Pediatric Endocrinology Division
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
-
dba Westchester Medical Center
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374537600000",
"number": "1548252828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 SAW MILL RIVER RD",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321533",
"telephone_number": "914-493-7585",
"fax_number": "914-594-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BRADHURST AVE",
"address_2": "STE. 1400",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322140",
"telephone_number": "914-493-7585",
"fax_number": "914-594-4336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YOUNGSOOK",
"middle_name": "CATHY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-22",
"last_updated": "2013-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "NY",
"license": "220079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.