HONG KIM NPI 1093205676

NPI Information

NPI: 1093205676
Provider Name: HONG KIM
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
136 MADISON AVE FL 6
NEW YORK, NY
ZIP 10016
Phone: (917) 727-6576
Get Directions

Hong Kim is a psychiatric/mental health nurse practitioner in New York, NY. Hong Kim NPI is 1093205676. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

136 MADISON AVE FL 6
NEW YORK, NY
ZIP 10016-795
Phone: (917) 727-6576
Fax: (212) 202-7873

The NPI 1093205676 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/18/2018 and was last updated on 6/16/2023.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	11013838	FLORIDA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	26NJ01170200	NEW JERSEY	No
3	163WH0200X	Registered Nurse	Home Health	711302	NEW YORK	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	402766	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	Other Provider Identifier Issuer
1	9930425	OTHER		9930425

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: 4/28/2024

NPI Synchronization or Removal

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