Min Young Kim, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

F339528-1 Issued in NY

Practice address

34 Patton Blvd
New Hyde Park, NY 11040-1731

Phone

(718) 897-8915

Fax

(718) 424-4527

NPI assigned

Apr 16, 2015

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Jian Cui, Dermatology, P.C.

  • Dermatology Physician
  • Flushing, NY
  • NPI 1063652311
  NPD (past)
• Union Square Medical Imaging and Mammography PC

  • Mammography Clinic/Center
  • New York, NY
  • NPI 1912037102
  NPD (past)

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1851788970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 W 90TH ST",
            "address_2": "APARTMENT 11B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241504",
            "telephone_number": "718-813-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PATTON BLVD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401731",
            "telephone_number": "718-897-8915",
            "fax_number": "718-424-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MIN YOUNG",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F339528-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Kim
• Juno Kim
• Kristi Kim, DPT
• Michael Kim, MD
• Michelle Kim
• Olivia Jung Kim
• Seunghyun Kim, NP
• Soyon Kim
• Stephen Kim
• Sumin Kim, NP

• Primary Care Nurse Practitioner in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.