Andrew S Kim, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

170531 Issued in NY

Practice address

13710 Franklin Ave
Suite #L-1
Flushing, NY 11355-3842

Phone

(718) 359-0005

NPI assigned

Sep 15, 2005

Reactivated

Apr 3, 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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1992790976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13710 FRANKLIN AVE",
            "address_2": "SUITE #L-1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553842",
            "telephone_number": "718-359-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13710 FRANKLIN AVE",
            "address_2": "SUITE #L-1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553842",
            "telephone_number": "718-359-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ANDREW",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2010-01-27",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "170531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Kamere Kiarie, M.D.
• Kidapillar Occupational Therapy, PC
• Svetlana Kikirov
• Lawrence B Kilo
• Andrew Hyun Kyu Kim, DO
• Angelina Sunghee Kim, MD
• Angie Y Kim, DMD
• Back Kyun Kim, MD
• Baekbong Kim, MSW
• Bong Song Kim, M.D.

• Family Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.