Dohyung Kim, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

019722 Issued in NY

Practice address

15301 Northern Blvd
Ste 2E
Flushing, NY 11354-5035

Phone

(718) 888-1641

Fax

(718) 888-2514

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Carezone Physical Therapy, P.C.

  • Physical Therapist
  • Flushing, NY
  • NPI 1518356393
  Medicare reassignment NPD Authorized official
• Dohyung Kim Physical Therapy PC

  • Specialist
  • Flushing, NY
  • NPI 1922042795
  Medicare reassignment NPD Authorized official
• Yom & Kim, LLC.

  • Nutrition Chiropractor
  • Astoria, NY
  • NPI 1528175221

  Specialist

  NPD (past) Authorized official

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1912978982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15301 NORTHERN BLVD",
            "address_2": "STE 2E",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545035",
            "telephone_number": "718-888-1641",
            "fax_number": "718-888-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 NORTHERN BLVD",
            "address_2": "STE 2E",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545035",
            "telephone_number": "718-888-1641",
            "fax_number": "718-888-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DOHYUNG",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "019722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS",
            "identifier": "74981",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02590958",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Kim, DO
• David D Kim, MD
• David Solomon Kim, L.AC
• David Tae Kim, D.D.S.
• Deborah Sungja Kim
• Donald Kim, D.M.D.
• Donald D Kim, O.D.
• Dong Kim, RPH
• Dong Arm Kim
• Eileen J Kim, OD

• Specialist in Flushing, NY
• Providers in Flushing, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.