NPIMap

Organization Active NPI

Astor Medical PC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1780188086
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
198201 Issued in NY
Legal business name
ASTOR MEDICAL PC
Practice address
67 Irving PL FL 5
New York, NY 10003-2255
Phone
(212) 253-2968
Fax
(212) 253-2925
NPI assigned
Mar 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
Dr. David D Kim, MDNPI 1558445395
Title
Business Owner
Phone
(212) 253-2968

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 198201 NY Primary

Addresses

Primary practice location

67 Irving PL FL 5
New York, NY 10003-2255

Mailing address

67 Irving PL FL 5
New York, NY 10003-2255
Phone (212) 253-2968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180327000306 NY Part B Supplier - Clinic/Group Practice 6608138995 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

147 W 25th St
Fl 10
New York, NY 10001
Phone (212) 253-2968

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1780188086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 IRVING PL FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032255",
            "telephone_number": "212-253-2968",
            "fax_number": "212-253-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 IRVING PL FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032255",
            "telephone_number": "212-253-2968",
            "fax_number": "212-253-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTOR MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "212-253-2968",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "198201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.