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

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 PC

Title

MD

Phone

(914) 668-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00793453",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren C Kunis, CPD
• Elizabeth Kuriakose, PA
• Mercy Kurian, LMHC
• Mirriam Kuyeli, LPN
• Keanna Kyer
• Lessie Lacy
• Ivanna Lahoz, CARE COORDINATOR
• Jonathan Lall, LPN
• Claudette E Lamelle, LMSW
• Vanessa Lang, LMSW

• Surgical Critical Care Physician in Mt Vernon, NY
• Providers in Mt 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.