Kyung H Kim MD PC

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

150848 Issued in NY

Legal business name

KYUNG H KIM MD PC

Practice address

262 E Prospect Ave
Mt Vernon, NY 10550-1605

Phone

(914) 668-2600

Fax

(914) 668-6102

NPI assigned

Sep 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyung H Kim, MD PCNPI 1659572220

Title

MD

Phone

(914) 668-2600

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyung H Kim, M.D

  • Surgical Critical Care Physician
  • Mount Vernon, NY
  • NPI 1659572220
  Authorized official Same address or phone
• Stuart H Reich, PA

  • Surgical Physician Assistant
  • Mahwah, NJ
  • NPI 1235129669
  NPD (past)

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710081054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 E PROSPECT AVE",
            "city": "MT VERNON",
            "state": "NY",
            "postal_code": "105501605",
            "telephone_number": "914-668-2600",
            "fax_number": "914-668-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 E PROSPECT AVE",
            "city": "MT VERNON",
            "state": "NY",
            "postal_code": "105501605",
            "telephone_number": "914-668-2600",
            "fax_number": "914-668-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYUNG H KIM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KYUNG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "914-668-2600",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "150848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kuriakose, PA
• Mercy Kurian, LMHC
• Mirriam Kuyeli, LPN
• Youngjin Kwon, RN
• Keanna Kyer
• Lessie Lacy
• Ivanna Lahoz, CARE COORDINATOR
• Jonathan Lall, LPN
• Claudette E Lamelle, LMSW
• Vanessa Lang, LMSW

• Surgical Critical Care Physician in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Surgical Critical Care Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.