Active NPI
Dooyoung Kim
- Taxi
- Fresh Meadows, NY
National Provider Identifier
1922550920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- License
- B02955
- Practice address
- 61-43 186TH Street
Suite #408
Fresh Meadows, NY 11365 - Phone
- (646) 725-4995
- Fax
- (646) 558-7797
- NPI assigned
- Oct 26, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Taxi | 344600000X | B02955 | NY | Primary |
Addresses
Primary practice location
61-43 186TH Street
Suite #408
Fresh Meadows, NY 11365
Mailing address
20312 35TH Ave FL 1
Bayside, NY 11361-1110
Phone (646) 725-4995
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 |
|---|---|---|---|
| B02955 | NY | MD | Taxi |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hana Transportation Corp. | Taxi | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Taxi
- Fresh Meadows, NY
- NPI 1588102636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478563200000",
"number": "1922550920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20312 35TH AVE FL 1",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113611110",
"telephone_number": "646-725-4995",
"fax_number": "646-558-7797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61-43 186TH STREET",
"address_2": "SUITE #408",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "11365",
"telephone_number": "646-725-4995",
"fax_number": "646-558-7797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DOOYOUNG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-26",
"last_updated": "2016-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "NY",
"license": "B02955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.