CAROLINE KIM (NPI# 1093966517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093966517 |
| Entity Type | Individual |
| Full Name | CAROLINE KIM |
| Credential | DDS |
| Practice Address |
55 E Mosholu Pkwy N Bronx NY 10467-2625 |
| Practice Telephone | 7186527370 |
| Mailing Telephone | 7186527370 |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
54192 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386253383 | Caroline Kim | Dentist | 1833 Brandon St, Oakland, CA 94611-4306 | 2020-07-24 |
| 1205335585 | Caroline Y Kim | Acupuncturist | 1633 Nw Vicksburg Ave, Bend, OR 97703-1435 | 2018-02-01 |
| 1558759241 | Caroline Sohjung Kim | Occupational Therapist | 4660 Encinas Dr, La Canada, CA 91011-2227 | 2015-01-02 |
| 1588856538 | Caroline A. Kim | Internal Medicine | 6041 Cadillac Avenue, Suite 248, Kaiser Permanente, Los Angeles, CA 90034 | 2007-08-14 |
| 1316159692 | Caroline S Kim | Social Worker | 11 Maria Dr, Hillsdale, NJ 07642-1345 | 2007-05-07 |
| 1386602753 | Caroline C Kim | Dermatology | 330 Brookline Avenue, Shapiro 2, Bidmc/dermatology, Boston, MA 02115 | 2006-05-03 |
| 1538702808 | Caroline Jinnie Kim | Pharmacist | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2019-10-19 |
| 1144784281 | Caroline Kim | Student in an Organized Health Care Education/Training Program | 14515 Hamlin St, Van Nuys, CA 91411-1686 | 2019-01-23 |
| 1104372093 | Caroline Kim | Pharmacist | 3770 W Ina Rd, Tucson, AZ 85741-2093 | 2016-08-30 |
| 1972857985 | Caroline Hejin Kim | Pharmacist | 1498 York Ave, New York, NY 10075-0703 | 2012-10-30 |
| Street Address |
55 E MOSHOLU PKWY N |
| City | BRONX |
| State | NY |
| Zip Code | 10467-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295724342 | Jay Fensterstock | Dentist | 55 E Mosholu Pkwy N, Bronx, NY 10467-2625 | 2005-10-20 |
| 1255706305 | Nafisah Abdulsalam | Registered Nurse | 55 E Mosholu Pkwy N, Apt 3g, Bronx, NY 10467-2625 | 2015-12-01 |
| 1689821027 | Melissa Davis | Dentist | 55 E Mosholu Pkwy N, Bronx, NY 10467-2625 | 2008-08-27 |
| 1134385016 | Janatha Withanachchi | Dentist | 55 E Mosholu Pkwy N, Bronx, NY 10467-2625 | 2008-07-31 |
| 1174652390 | Gene Sheinkman | Dentist | 55 E Mosholu Pkwy N, Bronx, NY 10467-2625 | 2007-03-05 |
| 1689731051 | Maxine Maria Facey | Dental Hygienist | 55 E Mosholu Pkwy N, Bronx, NY 10467-2625 | 2007-01-03 |
| 1316004872 | Lucinda Alexander | Dental Hygienist | 55 E Mosholu Pkwy N, Bronx, NY 10467-2625 | 2007-01-03 |
| 1598822793 | Marie Josette Alverio | Dental Hygienist | 55 E Mosholu Pkwy N, Bronx, NY 10467-2625 | 2007-01-03 |
| 1235298498 | Ben Mallman | Dentist | 55 E Mosholu Pkwy N, Bronx, NY 10467-2625 | 2006-12-06 |
| 1144234469 | Dr. Jay Fensterstock Dds P.C. | Dentist | 55 E Mosholu Pkwy N, Bronx, NY 10467-2625 | 2006-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538335633 | Sitki Murat Dogus | Dentist | 3332 Rochembeau Ave, Floor 2, Bronx, NY 10467 | 2008-05-08 |
| 1861641094 | Francesco P Maratta | Dentist | 3332 Rochambeau Ave, Bronx, NY 10467-2836 | 2008-09-11 |
| 1053473207 | Kenneth M Schweitzer | Dentist | 111 E 210th St, Bronx, NY 10467-2401 | 2006-12-14 |
| 1063581171 | Kenneth S Kurtz | Dentist | 111 E 210th St, Bronx, NY 10467-2401 | 2006-11-06 |
| 1679670111 | Gerald F Sabol | Dentist | 130 West Kingsbridge Road, Bronx, NY 10468 | 2006-09-19 |
| 1629172077 | Vincent Petrazzuolo | Dentist | 130 W Kingsbridge Rd, Bronx, NY 10468 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382143 | Weon Jae Choi | Dentist | 22 N 6th St Apt 9o, Brooklyn, NY 11249-3083 | 2020-09-29 |
| 1053927624 | Victor Yin Yu Lee | Dentist | 130 Fort Washington Ave Ofc 1b, New York, NY 10032-4724 | 2020-09-19 |
| 1972111441 | Lex Prosthodontics, Pllc | Dentist | 185 E 85th St Ofc 2, New York, NY 10028-2191 | 2020-07-21 |
| 1437767936 | Gramercy Prosthodontics, Pllc | Dentist | 130 E 18th St Ofc 1m, New York, NY 10003-2400 | 2020-07-21 |
| 1306492731 | Penny Planzos | Dentist | 7815 4th Avenue, Brooklyn, NY 11209 | 2019-08-12 |
| 1346707916 | 5d Dental Pllc | Dentist | 150 Irving Place, Woodmere, NY 11598 | 2019-03-01 |
| 1699274829 | Westchester Dental Design, PC | Dentist | 1915 Central Park Ave Ste 201, Yonkers, NY 10710-2949 | 2018-02-02 |
| 1073031506 | Rhugielyn Mangaoang | Dentist | 51 W 51st St Ste 350, New York, NY 10019 | 2017-09-05 |
| 1811412174 | Allen & Schwarz Dental Pllc | Dentist | 30 Central Park S Rm 10b, New York, NY 10019-1628 | 2017-08-08 |
| 1407393424 | Thomas Fuschetto | Dentist | 33 Cedar St Ste 1, Rye, NY 10580-2031 | 2017-01-28 |
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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.