Dohyung Kim Physical Therapy PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

019722 Issued in NY

Legal business name

DOHYUNG KIM PHYSICAL THERAPY PC

Practice address

15301 Northern Blvd.
Ste. 2G
Flushing, NY 11354-5038

Phone

(718) 888-1641

Fax

(718) 888-2514

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Dohyung KimNPI 1912978982

Title

President

Phone

(718) 888-1641

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dohyung Kim, PT

  • Specialist
  • Flushing, NY
  • NPI 1912978982
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1922042795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15301 NORTHERN BLVD.",
            "address_2": "STE. 2G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545038",
            "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. 2G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545038",
            "telephone_number": "718-888-1641",
            "fax_number": "718-888-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOHYUNG KIM PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DOHYUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-888-1641"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "019722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02590958",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dodam Acupuncture and Physical Therapy PLLC
• Jessica Dodobayeva
• Amit K. Dogra, D.M.D.
• Ashok Kumar Dogra, DDS
• Mridula Dogra, MD
• Dawa Dolma
• Gigliola Maria Dolmaian, MD
• Hazel-Ann Patricia Domiano, RPH
• Alfredo Donaire
• Dong Hwan Lee D.C., P.C

• 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 Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.