CHRISTI YOUNG-AH KIM (NPI# 1053475673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053475673 |
| Entity Type | Individual |
| Full Name | CHRISTI YOUNG-AH KIM |
| Credential | M.D. |
| Practice Address |
375 E Main St Ste 21 Bay Shore NY 11706-8418 |
| Mailing Address |
1500 Route 112 Bldg 4 Port Jefferson Station NY 11776-8055 |
| Practice Telephone | 6317513000 |
| Practice Fax Number | 6315096559 |
| Mailing Telephone | 6317510000 |
| Mailing Fax Number | 6315096559 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
2822966 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CIGNA | 3079995 | 01 |
| NY | BLUE SHIELD | 522CJ2 | 01 |
| NY | OXFORD | P4501305 | 01 |
| NY | 02822966 | 05 | |
| NY | HIP | 1003535P | 01 |
| NY | SUFFOLK HEALTH PLAN | 24232801 | 01 |
| NY | AETNA | 7466892 | 01 |
| NY | VYTRA | 998725 | 01 |
| NY | FIDELIS | 120306000078 | 01 |
| NY | GHI | WEZ3504051 | 01 |
| NY | GHI | 2417484 | 01 |
| NY | RR MEDICARE | P01040768 | 01 |
| NY | UNITEDHEALTHCARE COMMUNITY PLAN | 10053770301 | 01 |
| Street Address |
375 E MAIN ST STE 21 |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-8418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112427 | Health Quest Medical Practice, PC | Internal Medicine | 6511 Spring Brook Ave Ste 1006, Rhinebeck, NY 12572-3709 | 2020-04-05 |
| 1306474226 | Health Quest Medical Practice, PC | Internal Medicine | 1240 Ulster Ave-medical Onc. Dept., Kingston, NY 12401-1517 | 2020-03-27 |
| 1700417672 | Carlos Henrique Dos Anjos | Internal Medicine | 300 E 66th St, New York, Ny, New York, NY 10065 | 2020-01-30 |
| 1033534268 | Montefiore New Rochelle Hospital | Internal Medicine | 26 Washington Avenue, New Rochelle, NY 10801 | 2014-02-25 |
| 1710327721 | Jarushka Naidoo | Internal Medicine | 475 Main St Apt 2l, Roosevelt Island, New York, NY 10044-0084 | 2013-07-05 |
| 1457617771 | Wungki Park | Internal Medicine | 300 E 66th St Ofc 10065, New York, NY 10065-6800 | 2012-04-11 |
| 1538449392 | Mahendra Manilal Shah | Internal Medicine | 59 Donald Dr, Hastings On Hudson, NY 10706-3623 | 2011-08-25 |
| 1659609931 | Alexei Morozov | Internal Medicine | 1275 York Ave # 8, New York, NY 10065-6007 | 2009-11-25 |
| 1548496326 | Maria J Nieto | Internal Medicine | 1 Gustave L Levy Pl # 1410, New York, NY 10029-6500 | 2009-06-07 |
| 1538307665 | Jerome William Yates | Internal Medicine | 240 Independence Dr, Orchard Park, NY 14127-3430 | 2009-01-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.