CHAERYUNG KIM AGPCNP-BC NPI 1750974259

NPI Information

  • NPI: 1750974259
  • Provider Name: CHAERYUNG KIM, AGPCNP-BC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 91 WORTH ST
    NEW YORK, NY
    ZIP 10013
  • Phone: (805) 307-8869

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NPI Details

Chaeryung Kim, AGPCNP-BC is an adult health nurse practitioner in New York, NY. Chaeryung Kim, AGPCNP-BC NPI is 1750974259. 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:

91 WORTH ST
NEW YORK, NY
ZIP 10013-411
Phone: (805) 307-8869

The NPI 1750974259 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 2/16/2021 and was last updated on 11/1/2023.

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
1163WC0200XRegistered NurseCritical Care Medicine730895NEW YORKNo
2363LA2200XNurse PractitionerAdult Health309900NEW YORKYes

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: 11/21/2025

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