DR. SUSAN KIM (NPI# 1154496958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154496958 |
| Entity Type | Individual |
| Full Name | DR. SUSAN KIM |
| Credential | MD |
| Practice Address |
234 E 149th St Bronx NY 10451-5504 |
| Mailing Address |
316 Franklin Ct Edgewater NJ 07020-1603 |
| Practice Telephone | 7185795734 |
| Practice Fax Number | 7185794963 |
| Mailing Telephone | 2013131993 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
214422 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1184263634 | Susan Kim | Pharmacist | 14529 28th Dr Se, Mill Creek, WA 98012-5707 | 2020-01-02 |
| 1548780901 | Susan Kim | Marriage & Family Therapist | 12625 High Bluff Dr Ste 103, San Diego, CA 92130-2053 | 2017-06-26 |
| 1013371210 | Susan Kim | Pharmacist | 192 Orchard Park Dr, Apt 287, Davis, CA 95616-5343 | 2016-04-13 |
| 1861893000 | Susan Kim | Dietitian, Registered | 21011 Storrs Rd, Sackets Harbor, NY 13685-3172 | 2014-09-08 |
| 1033559505 | Susan Kim | Counselor | 2900 Eastlake Ave E, Suite 220, Seattle, WA 98102-3012 | 2013-06-28 |
| 1538424080 | Susan Soojin Kim | Specialist | 12 Sterling Pl, 1st Fl, Edgewater, NJ 07020-1415 | 2012-07-11 |
| 1427202456 | Susan Youn Kim | Optometrist | 3184 Queens East St, Eugene, OR 97401-8525 | 2008-11-04 |
| 1184807257 | Susan J. Kim | Physical Medicine & Rehabilitation | 7703 Floyd Curl Dr, Mc7798, San Antonio, TX 78229-3901 | 2007-12-12 |
| 1619019429 | Susan Kim | Acupuncturist | 4950 Wilshire Blvd, Los Angeles, CA 90010-3805 | 2007-02-12 |
| Street Address |
234 E 149TH ST |
| City | BRONX |
| State | NY |
| Zip Code | 10451-5504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750379616 | Jeanne Ann Devine | Genetic Counselor, MS | 234 E 149th St, Suite 5d Room 205, Bronx, NY 10451-5504 | 2005-10-13 |
| 1982205977 | Stephanie Lee Waldman | Physician Assistant | 234 E 149th St, Bronx, NY 10451-5504 | 2020-11-05 |
| 1609473578 | Mansha Anil Khubchandani | Student in an Organized Health Care Education/Training Program | 234 E 149th St, Bronx, NY 10451-5504 | 2020-10-05 |
| 1255938403 | Marcos Borthelle | Student in an Organized Health Care Education/Training Program | 234 E 149th St, Bronx, NY 10451-5504 | 2020-10-01 |
| 1205442407 | Sanjana Babbar | Student in an Organized Health Care Education/Training Program | 234 E 149th St, Bronx, NY 10451-5504 | 2020-09-22 |
| 1326653684 | Caitlin Marisa Hanley | Nurse Practitioner | 234 E 149th St, Bronx, NY 10451-5504 | 2020-09-14 |
| 1952915860 | Marco Adly | Student in an Organized Health Care Education/Training Program | 234 E 149th St, Bronx, NY 10451-5504 | 2020-09-08 |
| 1699388132 | Waleed Saleh Abuhishmeh I | Student in an Organized Health Care Education/Training Program | 234 E 149th St, Bronx, NY 10451-5504 | 2020-08-25 |
| 1700499316 | Yazan Al Jabiri | Student in an Organized Health Care Education/Training Program | 234 E 149th St, Bronx, NY 10451-5504 | 2020-08-25 |
| 1720690555 | Mohannad Hussam Al-khateeb | Student in an Organized Health Care Education/Training Program | 234 E 149th St, Bronx, NY 10451-5504 | 2020-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
| 1467065466 | Armghan Azhar Azhar Munir | Student in an Organized Health Care Education/Training Program | Lincoln Medical Center, 234 E149th St, New York City, NY 10451 | 2020-08-28 |
| 1013529486 | Ariane Tapang Yangco | Student in an Organized Health Care Education/Training Program | 234 East 149th St., Lincoln Medical and Mental Center, Internal Medicine De, New York, NY 10451 | 2020-08-18 |
| 1134730377 | Sherida N Edding | Student in an Organized Health Care Education/Training Program | 234 E 149th Street, Bronx, New York City, NY 10451 | 2020-08-12 |
| 1922617646 | Tian Fang Yu | Student in an Organized Health Care Education/Training Program | 234 E 149th St., The Bronx, NY 10451 | 2020-07-28 |
| 1659998037 | Amnah Khalid | Student in an Organized Health Care Education/Training Program | 234 East 149st, 820, Bronx, NY 10451 | 2020-07-01 |
| 1871116277 | Sebastian Andres Gandarillas Fraga | Student in an Organized Health Care Education/Training Program | 234 E. 149 Street, Suite 820, New York, NY 10451 | 2020-05-20 |
| 1285257642 | Javier Alejandro Castro Valenzuela | Student in an Organized Health Care Education/Training Program | 243 East 149th Street, Suite 4-20, The Bronx, NY 10451 | 2020-05-20 |
| 1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
| 1235761958 | Kellie Gevon Mcfarlane | Psychologist | Lincoln Hospital, Child Adolescent Psychiatric Services, 234 East 149th Street, Floor 4a, Room 4-83, Bronx, NY 10451 | 2020-02-11 |
| Find all providers in zip 10451 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417346321 | Maryanne Yacoub Sourial | Internal Medicine | 3411 Wayne Ave Apt 5h, Bronx, NY 10467-2539 | 2015-01-15 |
| 1437563137 | Bessy Suyin Flores Chang | Internal Medicine | 4422 3rd Ave Bldg 3, Bronx, NY 10457-2545 | 2014-06-20 |
| 1417225319 | Pablo Loarte Campos | Internal Medicine | 111 E 210th St Fl C2, Bronx, NY 10467-2401 | 2011-12-06 |
| 1437312758 | Bashar Ericsoossi | Internal Medicine | 1733 Eastchester Rd Ste 2, Bronx, NY 10461-2315 | 2008-07-07 |
| 1558532242 | Medical Diagnostic Nephrology, PC | Internal Medicine | 2409 Barker Ave, Bronx, NY 10467-7601 | 2008-03-20 |
| 1750460960 | Joseph Bonanno | Internal Medicine | 3481 E Tremont Ave, Bronx, NY 10465-2016 | 2006-11-06 |
| 1144310855 | Robert E Feingold | Internal Medicine | Mmc - Dept. of Nephrology, 111 East 210th Street, Bronx, NY 10467 | 2006-10-13 |
| 1659304756 | Ritesh Raichoudhury | Internal Medicine | 1874 Pelham Pkwy S Apt Lr, Bronx, NY 10461-3749 | 2006-07-09 |
| 1629000948 | Mario A Henriquez | Internal Medicine | 2452 Bronx Park E, Bronx, NY 10467-7503 | 2006-07-07 |
| 1295711950 | Robert Chiles Alvis | Internal Medicine | 3468 Park Avenue, Bronx, NY 10456 | 2005-12-15 |
| Find all providers in BRONX | ||||
Please comment or provide details below to improve the information on DR. SUSAN KIM.
| 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.