Organization Active NPI

Korean Community Services of Metropolitan New York, Inc.

  • Community/Behavioral Health Agency
  • Flushing, NY
National Provider Identifier
1942687868
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KOREAN COMMUNITY SERVICES OF METROPOLITAN NEW YORK, INC.
Practice address
4216 162ND St
Flushing, NY 11358-4154
Phone
(718) 366-9540
Fax
(718) 886-6126
NPI assigned
Apr 29, 2015
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Myoungmi KimNPI 1922725068
Title
President & Ceo
Phone
(718) 939-6137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4216 162ND St
Flushing, NY 11358-4154

Mailing address

4216 162ND St Apt 2
Flushing, NY 11358-4155
Phone (718) 939-6137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161117000970 NY Part B Supplier - Clinic/Group Practice 1850670779 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Korean Community Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20305 32nd Ave
Bayside, NY 11361
Phone (718) 352-4264

3556 159th St
Flushing, NY 11358

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1942687868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 162ND ST APT 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113584155",
            "telephone_number": "718-939-6137",
            "fax_number": "718-886-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 162ND ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113584154",
            "telephone_number": "718-366-9540",
            "fax_number": "718-886-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOREAN COMMUNITY SERVICES OF METROPOLITAN NEW YORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MYOUNGMI",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "718-939-6137"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.