Active NPI
Mi-Jeong Kim, R.P.T.
- Physical Therapist
- New York, NY
National Provider Identifier
1548486145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 019339
- Practice address
- 271 Madison Ave
Suite 1601
New York, NY 10016-1001 - Phone
- (212) 682-2750
- Fax
- (212) 682-6588
- NPI assigned
- Apr 18, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 019339 | NY | Primary |
Addresses
Primary practice location
271 Madison Ave
Suite 1601
New York, NY 10016-1001
Mailing address
82 Virginia Ave
Plainview, NY 11803-3626
Phone (917) 951-0032
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019339 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRD Medical PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pain Medicine Physician
- New York, NY
- NPI 1205045853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548486145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 VIRGINIA AVE",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118033626",
"telephone_number": "917-951-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 MADISON AVE",
"address_2": "SUITE 1601",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100161001",
"telephone_number": "212-682-2750",
"fax_number": "212-682-6588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "MI-JEONG",
"credential": "R.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "019339",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.