Active NPI
Jin Ah Kim, M.D.
- Diagnostic Radiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 290240
- Practice address
- 100 E 77TH St
New York, NY 10075-1850 - Phone
- (212) 434-2885
- NPI assigned
- Aug 19, 2014
- Last updated
- Nov 22, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Imaging & Therapy Physician | 207UN0902X | 290240 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 290240 | NY | Primary |
Addresses
Primary practice location
100 E 77TH St
New York, NY 10075-1850
Mailing address
382 Central Park W Apt 17D
New York, NY 10025-6037
Phone (646) 455-8822
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
- Nuclear Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
61 E 77TH St
New York, NY 10075-1817
Phone (212) 772-3111
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.08 of 100
- Quality
- 62.84
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290240 | NY | MD | Nuclear Imaging & Therapy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Faculty Medical Affiliates University Faculty Practice Corp | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Hudson Valley Radiology Associates PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Diagnostic Radiology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Diagnostic Radiology | Current | Accepting new patients |
| Delaware Radiology Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Lenox Hill Radiology & Medical Imaging Associates, PC | Diagnostic Radiology | Current | Accepting new patients |
| Columbiadoctors/Newyork-Presbyterianimaging | Current | Accepting new patients | |
| Park West Radiology, PC | Diagnostic Radiology | Past | Accepting new patients |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients |
Locations
27443 Network Pl
Chicago, IL 60673
9 Bond St
Fl 4
Brooklyn, NY 11201
Phone (718) 222-0202
8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
300 Community Dr
Manhasset, NY 11030
18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300
51 W 51st St
Ste 300
New York, NY 10019
Phone (212) 304-6309
61 E 77th St
New York, NY 10075
Phone (212) 772-2130
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
622 W 168th St
#4100
New York, NY 10032
Phone (212) 305-5123
1220 Hicksville Rd
Seaford, NY 11783
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 12
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.
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1821036807
-
- Specialist
- New York, NY
- NPI 1902345986
-
- Diagnostic Radiology Physician
- New City, NY
- NPI 1174574115
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Body Imaging Physician
- Seaford, NY
- NPI 1033791058
-
dba Columbia Presbyterian Radiologists
- Diagnostic Radiology Physician
- New York, NY
- NPI 1467560854
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Newark, DE
- NPI 1740706175
-
- Diagnostic Ultrasound Physician
- New York, NY
- NPI 1003855404
Diagnostic Radiology
-
dba Columbia Endovascular Associates
- Vascular & Interventional Radiology Physician
- New York, NY
- NPI 1992816011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1598164113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 CENTRAL PARK W APT 17D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256037",
"telephone_number": "646-455-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E 77TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751850",
"telephone_number": "212-434-2885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JIN AH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-19",
"last_updated": "2019-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207UN0902X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "NY",
"license": "290240",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "290240",
"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 Nov 22, 2019; 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.