TAE H KIM (NPI# 1063447845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063447845 |
| Entity Type | Individual |
| Full Name | TAE H KIM |
| Credential | M.D. |
| Practice Address |
135 Vredenburgh Ave Yonkers NY 10704-2134 |
| Practice Telephone | 9142375430 |
| Practice Fax Number | 9142372667 |
| Mailing Telephone | 9142375430 |
| Mailing Fax Number | 9142372667 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 150184 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00712336 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568938561 | Tae Kim | Social Worker | Bld S370, Camp Humphreys Behavioral Health Clinic, Apo, AP 96251-0016 | 2018-10-17 |
| 1962906487 | Tae Y Kim | Student in an Organized Health Care Education/Training Program | 4020 Olmsted Ave, Los Angeles, CA 90008-2628 | 2018-03-20 |
| 1831603067 | Tae Kyong Kim | Chiropractor | 3740 Colony Dr Ste 150, San Antonio, TX 78230-2290 | 2017-11-27 |
| 1710400296 | Tae Hee Kim | Acupuncturist | 520 S Virgil Ave Ste 503, Los Angeles, CA 90020-1452 | 2017-07-17 |
| 1427579531 | Tae Kim | Case Manager/Care Coordinator | 5837 192nd St Fl 2, Fresh Meadows, NY 11365-2237 | 2017-06-28 |
| 1164876561 | Tae Sik Kim | Acupuncturist | 3701 50th St W, Rosamond, CA 93560-6725 | 2016-04-21 |
| 1891949368 | Tae Jung Kim | Specialist | 6123 229th St Fl 2, Oakland Gardens, NY 11364-2422 | 2008-11-11 |
| 1568629889 | Tae Kyu Kim | Family Medicine | 275 W Hospitality Ln Ste 200, San Bernardino, CA 92408-3238 | 2008-05-22 |
| 1174734719 | Tae Kim | Acupuncturist | 2040 Pacific Coast Hwy Ste Q, Lomita, CA 90717-2660 | 2007-05-25 |
| 1568512085 | Tae Kun Kim | Chiropractor | 3620 W Pioneer Dr Ste 109, Irving, TX 75061-1515 | 2007-01-10 |
| Street Address |
135 VREDENBURGH AVE |
| City | YONKERS |
| State | NY |
| Zip Code | 10704-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518482488 | Chaison Baker | Counselor | 648 Bronx River Road, Yonkers, NY 10704 | 2017-08-11 |
| 1144759432 | Simone Ferreira Parker | Nurse Practitioner | 40 College Place, 2nd Floor, Yonkers, NY 10704 | 2017-06-08 |
| 1457885295 | Jacky Mari Cervantes | Physical Therapist | 909 Midland Ave, Ground Floor, Yonkers, NY 10704 | 2017-04-19 |
| 1720512627 | Gould Chiropractic Pllc | Chiropractor | 125 Crescent Place, Yonkers, NY 10704 | 2017-04-18 |
| 1659828721 | Malgorzata Lukomska | Nurse Practitioner | 541n Bronx River Rd, 8e, Yonkers, NY 10704 | 2016-09-07 |
| 1073964987 | Mustafa Alkhandak | Dentist | 172 Murray Ave, Yonkers, NY 10704 | 2016-06-22 |
| 1497119754 | Arline Mangiamele | Hearing Instrument Specialist | 1006 Mclean Ave, Yonkers, NY 10704 | 2016-04-12 |
| 1396139887 | Sadaf Mumtaz | Family Medicine | 1010 Central Park Avenue, Yonkers, NY 10704 | 2015-03-24 |
| 1639577869 | Georgina M Puente | Registered Nurse | 73 Alexander Avenue, Yonkers, NY 10704 | 2014-12-22 |
| 1083033922 | Frances Nelson | Technician, Other | C/o 6 Pellbridge Drive, Hopewell, NY 10704 | 2014-04-08 |
| Find all providers in zip 10704 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962550244 | Joan S Adams | Obstetrics & Gynecology | Three Burbank Street, Yonkers, NY 10710 | 2007-01-05 |
| 1093886475 | Lillian Berdichevsky | Obstetrics & Gynecology | 1022 N Broadway, Yonkers, NY 10701-1303 | 2006-11-10 |
| 1821178385 | Howard Weinstein | Obstetrics & Gynecology | Cross County Women's Center, 6 Xavier Drive, Suite 610, Yonkers, NY 10704 | 2006-10-17 |
| 1174628143 | John D Ilario | Obstetrics & Gynecology | 1084 N Broadway, Yonkers, NY 10701-1107 | 2006-09-14 |
| 1932130432 | Sarla M. Khushalani | Obstetrics & Gynecology | St. John's Riverside Hospital, 967 North Broadway, Yonkers, NY 10701 | 2006-07-05 |
| 1710951108 | Ezatolah Mohajer-shojai | Obstetrics & Gynecology | 944 N Broadway, Ste 207, Yonkers, NY 10701 | 2006-02-14 |
| 1790775583 | Suzanne Marie Greenidge | Obstetrics & Gynecology | 1020 N Broadway, Yonkers, NY 10701-1303 | 2005-10-24 |
| 1902165244 | Theresa Linsner | Obstetrics & Gynecology | 73 Market St, Yonkers, NY 10710-7616 | 2012-05-07 |
| 1710290119 | Mary Breda Morrissey | Obstetrics & Gynecology | 73 Market St, Yonkers, NY 10710-7616 | 2010-07-14 |
| 1174840516 | Melissa Elaine Groves | Obstetrics & Gynecology | 2 Park Ave, Yonkers, NY 10703-3402 | 2010-04-26 |
| Find all providers in YONKERS | ||||
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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.