Organization Active NPI

Kim GYN PLLC

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1962395640
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
KIM GYN PLLC
Practice address
877 Park Ave
New York, NY 10075-0341
Phone
(646) 798-8212
Fax
(212) 904-0980
NPI assigned
May 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Dr. Annie Kim, MD
Title
Practice Owner
Phone
(408) 613-5448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

877 Park Ave
New York, NY 10075-0341

Mailing address

877 Park Ave
New York, NY 10075-0341
Phone (408) 613-5448

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1748649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1962395640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750341",
            "telephone_number": "408-613-5448",
            "fax_number": "212-904-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750341",
            "telephone_number": "646-798-8212",
            "fax_number": "212-904-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM GYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-31",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "408-613-5448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.