Active NPI
Kihwan Kim
- Acupuncturist
- New York, NY
National Provider Identifier
1801240197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 005139
- Practice address
- 4470 Broadway
2ND Floor / Ste2
New York, NY 10040-2669 - Phone
- (212) 567-5891
- NPI assigned
- Apr 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 005139 | NY | Primary |
Addresses
Primary practice location
4470 Broadway
2ND Floor / Ste2
New York, NY 10040-2669
Mailing address
54 Sherman Ave
Bethpage, NY 11714-2422
Phone (212) 567-5891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005139 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461283200000",
"number": "1801240197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 SHERMAN AVE",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117142422",
"telephone_number": "212-567-5891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4470 BROADWAY",
"address_2": "2ND FLOOR / STE2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100402669",
"telephone_number": "212-567-5891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KIHWAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-22",
"last_updated": "2016-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "005139",
"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 Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.