MYUNGDUK ROGER KIM MD NPI 1942241518

NPI Information

NPI: 1942241518
Provider Name: MYUNGDUK ROGER KIM, MD
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

PECOS Registration: Yes

Address:
1 BROOKDALE PLZ
ROOM 244
BROOKLYN, NY
ZIP 11212
Phone: (718) 240-5668
Get Directions

Myungduk Roger Kim, MD is a neonatal-perinatal medicine pediatrics in Brooklyn, NY. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Myungduk Roger Kim, MD NPI is 1942241518. 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:

1 BROOKDALE PLZ
ROOM 244
BROOKLYN, NY
ZIP 11212-139
Phone: (718) 240-5668
Fax: (718) 240-6513

The NPI 1942241518 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 6/8/2006 and was last updated on 12/20/2013.

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	208000000X	Pediatrics		178690	NEW YORK	No
2	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	178690	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	476Y21	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	01404448	MEDICAID	NEW YORK
3	H52344	MEDICARE UPIN

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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