Individual provider Active NPI

Nam Hee Om, M.D.

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1992891311
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
213452 Issued in NY
Practice address
2532 Grand Concourse
Bronx, NY 10458-4902
Phone
(718) 960-1543
Fax
(718) 960-2178
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 213452 NY Primary

Addresses

Primary practice location

2532 Grand Concourse
Bronx, NY 10458-4902

Mailing address

100 Cashman PL
Roslyn Heights, NY 11577-1242
Phone (516) 626-2957

Other identifiers 1

IdentifierTypeStateIssuer
02108450MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080626000649 NY Practitioner - Internal Medicine 3274605837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

1000 N Village Ave
Rockville Center, NY 11570-1000

19132 Northern Blvd
Flushing, NY 11358-2829
Phone (516) 302-8565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
213452NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Jul 14, 2025 Accepting new patients
CHS Physician Partners, PC CurrentSince Jul 14, 2025 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Nrad Medical Associates, PC Internal Medicine Past Accepting new patients
Bethpage Medical, PLLC Past Accepting new patients
Yun Jae Cho Medical PC PastSince Feb 4, 2024 Accepting new patients
Union Square Medical Imaging and Mammography PC PastSince Aug 1, 2009 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

19132 Northern Blvd
Flushing, NY 11358
Phone (516) 302-8565

16303 Horace Harding Expy
Ste 100
Fresh Meadows, NY 11365
Phone (718) 454-4600

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: nom176631@direct-chsli.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1992891311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CASHMAN PL",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771242",
            "telephone_number": "516-626-2957",
            "fax_number": "718-817-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584902",
            "telephone_number": "718-960-1543",
            "fax_number": "718-960-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OM",
        "first_name": "NAM HEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "213452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02108450",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.