Active NPI
Misung Kim
- Family Nurse Practitioner
- Yonkers, NY
National Provider Identifier
1619689007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 347355
- Practice address
- 836 Palisade Ave
Apt 6H
Yonkers, NY 10703-1539 - Phone
- (213) 245-8213
- NPI assigned
- Dec 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 347355 | NY | Primary |
Addresses
Primary practice location
836 Palisade Ave
Apt 6H
Yonkers, NY 10703-1539
Mailing address
836 Palisade Ave
Apt 6H
Yonkers, NY 10703-1539
Phone (213) 245-8213
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 347355 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1619689007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 PALISADE AVE",
"address_2": "APT 6H",
"city": "YONKERS",
"state": "NY",
"postal_code": "107031539",
"telephone_number": "213-245-8213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 PALISADE AVE",
"address_2": "APT 6H",
"city": "YONKERS",
"state": "NY",
"postal_code": "107031539",
"telephone_number": "213-245-8213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "MISUNG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "347355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.