DR. SHINE H KIM M.D. NPI 1093968737

NPI Information

NPI: 1093968737
Provider Name: DR. SHINE H KIM, M.D.
Classification: Hospitalist - 208M00000X
Entity Type: Individual
Organization: SOUTHWEST SUFFOLK MEDICAL, P.C.

PECOS Registration: Yes

Address:
4210 COLDEN ST APT 420
FLUSHING, NY
ZIP 11355
Phone: (646) 644-0716
Get Directions

DR. Shine H Kim, M.D. is a hospitalist in Flushing, NY with 20 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. DR. Shine H Kim, M.D. NPI is 1093968737. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4210 COLDEN ST APT 420
FLUSHING, NY
ZIP 11355-848
Phone: (646) 644-0716

The NPI 1093968737 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 10/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		39	NEW YORK	No
2	207RH0002X	Internal Medicine	Hospice and Palliative Medicine	39	NEW YORK	No
3	208D00000X	General Practice		39	NEW YORK	No
4	208M00000X	Hospitalist		39	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1234567810	MEDICAID	NEW YORK
2	1234567810	MEDICARE OSCAR/CERTIFICATION	NEW YORK
3	1234567810	MEDICARE NSC	NEW YORK
4	1234567810	MEDICARE PIN	NEW YORK
5	1234567810	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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