Seung Kwan Kim, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

169723 Issued in NY

Practice address

3520 147TH St
Suite 1D,1E,1F
Flushing, NY 11354-3765

Phone

(718) 321-2870

Fax

(718) 321-2891

NPI assigned

Jan 30, 2006

Last updated

Aug 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physical Medicine and RehabilitationAlso: Pain Management

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seung Kwan Kim, M.D., P.C.

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
  • NPI 1457612285
  Authorized official Same address or phone

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1740251701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 147TH ST",
            "address_2": "SUITE 1D,1E,1F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543765",
            "telephone_number": "718-321-2870",
            "fax_number": "718-321-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 147TH ST",
            "address_2": "SUITE 1D,1E,1F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543765",
            "telephone_number": "718-321-2870",
            "fax_number": "718-321-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SEUNG",
        "middle_name": "KWAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "169723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01093241",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sang Hoon Kim, M.D.
• Sangmin Kim
• Sarah Y Kim
• SE Hwa Kim
• Seongsik Kim, P.T.
• Shine H Kim, M.D.
• Sonjong Kim, L.AC. MSTOM
• Soo Kim, RPH
• Soo-Myo Kim, RPH
• Soon Ok Kim, RPT

• Physical Medicine & Rehabilitation Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.