Individual provider Active NPI

Joseph Kim, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Brooklyn, NY
National Provider Identifier
1649633843
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
304961 Issued in NY
Practice address
185 Montague St FL 6
Brooklyn, NY 11201-3608
Phone
(718) 625-4244
Fax
(718) 625-8217
NPI assigned
Apr 4, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Anesthesiology) Physician 207LP2900X 304961 NY Primary

Addresses

Primary practice location

185 Montague St FL 6
Brooklyn, NY 11201-3608

Mailing address

141 Combs Ave
Woodmere, NY 11598-1432
Phone (516) 569-0696

Other practice location 1

8268 164th St
Jamaica, NY 11432-1121
Phone (718) 883-3000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210212002113 NY Practitioner - Pain ManagementPractitioner - Anesthesiology 7416291240 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
304961NYMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Physicians Ny PLLC CurrentSince Jul 1, 2021 Accepting new patients
Pain Management Medical Services PC CurrentSince Jan 20, 2021 Accepting new patients
Kim Medical Services, PLLC Current Accepting new patients
Centurion Midtown Anesthesia PLLC CurrentSince Jan 31, 2025 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Sep 28, 2022 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Big Leap Medical Group PA PastSince Jul 1, 2021 Accepting new patients

Locations

185 Montague St
Fl 6
Brooklyn, NY 11201
Phone (718) 243-9900

185 Montague St
#6
Brooklyn, NY 11201

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

11129 Queens Blvd
Forest Hills, NY 11375
Phone (718) 275-8900

305 E 47th St
New York, NY 10017
Phone (212) 203-8744

240 E 23rd St
New York, NY 10010
Phone (212) 757-0222

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: josephkim@mai.allscriptsdirect.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1649633843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 COMBS AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981432",
            "telephone_number": "516-569-0696",
            "fax_number": "516-569-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MONTAGUE ST FL 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013608",
            "telephone_number": "718-625-4244",
            "fax_number": "718-625-8217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8268 164th St",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114321121",
            "country_code": "US",
            "telephone_number": "718-883-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "304961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.