NPIMap

Organization Active NPI

Korean Community Services of Metropolitan New York, Inc.

  • Adult Day Care Clinic/Center
  • Bayside, NY
National Provider Identifier
1720426257
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
KOREAN COMMUNITY SERVICES OF METROPOLITAN NEW YORK, INC.
Practice address
20305 32ND Ave
Bayside, NY 11361-1021
Phone
(718) 939-6137
Fax
(718) 886-6126
NPI assigned
Jun 6, 2013
Last updated
Apr 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Ms. Myoungmi Kim, MPHNPI 1922725068
Title
Executive Vice President
Phone
(718) 939-6137

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X
Voluntary or Charitable Agency 251V00000X
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

20305 32ND Ave
Bayside, NY 11361-1021

Mailing address

20305 32ND Ave
Bayside, NY 11361-1021
Phone (718) 939-6137

Other practice location 1

4215 166th St
Flushing, NY 11358-2664
Phone (718) 886-8203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191025001588 NY MDPP Supplier - in-Person MDPP Supplier 1850670779 Practice locations: Bayside, NY
O20200716002198 NJ MDPP Supplier - in-Person MDPP Supplier 1850670779 Practice locations: Fort Lee, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Korean Community Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2460 Lemoine Ave
Fort Lee, NJ 07024
Phone (201) 500-9657

4215 166th St
Flushing, NY 11358
Phone (718) 886-8203

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1720426257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20305 32ND AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611021",
            "telephone_number": "718-939-6137",
            "fax_number": "718-886-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20305 32ND AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611021",
            "telephone_number": "718-939-6137",
            "fax_number": "718-886-6126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4215 166th St",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113582664",
            "country_code": "US",
            "telephone_number": "718-886-8203",
            "fax_number": "718-886-8205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KOREAN COMMUNITY SERVICES OF METROPOLITAN NEW YORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MYOUNGMI",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "718-939-6137",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.