Active NPI
Alex K Kim
- Acupuncturist
- Orangeburg, NY
National Provider Identifier
1801532866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 006920
- Practice address
- 60 Dutch Hill Rd Ste 2B
Orangeburg, NY 10962-1722 - Phone
- (845) 570-5057
- NPI assigned
- May 11, 2022
- 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 | 006920 | NY | Primary |
Addresses
Primary practice location
60 Dutch Hill Rd Ste 2B
Orangeburg, NY 10962-1722
Mailing address
1 Shore LN Apt 2210
Jersey City, NJ 07310-2087
Phone (551) 486-1446
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 |
|---|---|---|---|
| 006920 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1801532866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SHORE LN APT 2210",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073102087",
"telephone_number": "551-486-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 DUTCH HILL RD STE 2B",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "109621722",
"telephone_number": "845-570-5057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ALEX",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-11",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "006920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orangeburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.