Active NPI
Paul Y Kim, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Ridgewood, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 006427
- Practice address
- 6083 Myrtle Ave
Ridgewood, NY 11385-5908 - Phone
- (718) 381-8402
- Fax
- (718) 497-7322
- NPI assigned
- Aug 2, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N006427 | NY | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 006427 | NY | Primary |
Addresses
Primary practice location
6083 Myrtle Ave
Ridgewood, NY 11385-5908
Mailing address
18820B 69TH Ave Apt 3B
Fresh Meadows, NY 11365-3705
Phone (267) 979-9670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03450300 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266
6083 Myrtle Ave
Ridgewood, NY 11385-5908
Phone (718) 381-8402
Hospital & facility affiliations
- Wyckoff Heights Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 23 |
| Removal or shaving of skin growth | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N006427 | NY | MD | Podiatrist |
| 006427 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyckoff Professional Medical Services, PC | Current | Accepting new patients | |
| Wyckoff Heights Medical Center | Current | Accepting new patients | |
| Dr. P.Kim Podiatry, P.C. | Foot & Ankle Surgery | Current | Accepting new patients |
| Dr. P.Kim Podiatry, P.C. | Foot & Ankle Surgery | Current | Accepting new patients |
| Wyckoff Medical Services, P C | Past | Accepting new patients |
Locations
2116 Avenue P
Brooklyn, NY 11229
Phone (718) 338-1616
1411 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 907-4301
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
7554 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 326-0400
6083 Myrtle Ave
Ridgewood, NY 11385
Phone (718) 381-8402
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- paulkim@whmc.allscriptsdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Ridgewood, NY
- NPI 1396102828
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
-
- Foot & Ankle Surgery Podiatrist
- Ridgewood, NY
- NPI 1164012746
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1700886322
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1558308411
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1700886322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1831477280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18820B 69TH AVE APT 3B",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113653705",
"telephone_number": "267-979-9670",
"fax_number": "888-720-0690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6083 MYRTLE AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113855908",
"telephone_number": "718-381-8402",
"fax_number": "718-497-7322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "PAUL",
"middle_name": "Y",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-02",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N006427",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "006427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03450300",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.