Organization Active NPI

Yoojin Kim M.D.P.C

  • Pediatrics Physician
  • Flushing, NY
National Provider Identifier
1609425040
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
YOOJIN KIM M.D.P.C
Practice address
15814 Northern Blvd Ste ML7
Flushing, NY 11358-1600
Phone
(718) 463-8100
Fax
(718) 463-8409
NPI assigned
Sep 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Yoojin Kim, MDNPI 1790857126
Title
President
Phone
(718) 463-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

15814 Northern Blvd Ste ML7
Flushing, NY 11358-1600

Mailing address

15814 Northern Blvd Ste ML7
Flushing, NY 11358-1600
Phone (718) 463-8100

National Provider Directory

National Provider Directory

Locations

15814 Northern Blvd
Ste ML7
Flushing, NY 11358
Phone (718) 463-8100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1609425040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15814 NORTHERN BLVD STE ML7",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581600",
            "telephone_number": "718-463-8100",
            "fax_number": "718-463-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15814 NORTHERN BLVD STE ML7",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581600",
            "telephone_number": "718-463-8100",
            "fax_number": "718-463-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOOJIN KIM M.D.P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOOJIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-463-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "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 Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.