Rebecca Ha Kyung Kim, SLP-CF, TSSLD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

1404845201 Issued in NY

Practice address

622 3Rd Ave FL 7
New York, NY 10017-6723

Phone

(212) 634-2803

Fax

(646) 650-5963

NPI assigned

Jun 17, 2020

Last updated

Jun 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1750907598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK ST",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681229",
            "telephone_number": "201-566-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 3RD AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176723",
            "telephone_number": "212-634-2803",
            "fax_number": "646-650-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "REBECCA",
        "middle_name": "HA KYUNG",
        "credential": "SLP-CF, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "1404845201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Kyung Mee Kim
• Rachel Myungwha Kim, MD
• Randie Kim, MD, PHD
• Raymond Youngkeon Kim, MD
• Rebecca Kim, MS, OTR
• Rebecca Jaejin Kim, MD
• Richard Kim
• Richard Kim, D.D.S.
• Richard Kim
• Richard J. Kim, M.D., M.B.A.

• Student in an Organized Health Care Education/Training Program in New York, NY
• Providers in New York, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.