MR. TAESOO KIM (NPI# 1538428388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538428388 |
| Entity Type | Individual |
| Full Name | MR. TAESOO KIM |
| Practice Address |
1396 Myrtle Ave Brooklyn NY 11237-4513 |
| Mailing Address |
3279 30th St Apt 3g Astoria NY 11106-2971 |
| Practice Telephone | 7188784314 |
| Mailing Telephone | 7325707757 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2015-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
015595 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740742055 | Taesoo Kim | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2019-04-04 |
| 1750348074 | Taesoo Kim | Internal Medicine | 124 Main St, Massena, NY 13662-1916 | 2006-04-28 |
| Street Address |
1396 MYRTLE AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11237-4513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730340902 | Edwin Perez | Anesthesiology | 1396 Myrtle Ave, Brooklyn, NY 11237-4513 | 2008-06-20 |
| 1457910374 | Nassau County Sh Medical PC | Pain Medicine | 1396 Myrtle Ave, Brooklyn, NY 11237-4513 | 2019-06-13 |
| 1891235404 | Sedation Vacation Perioperative Medicine Pllc | Specialist | 1396 Myrtle Ave, Brooklyn, NY 11237-4513 | 2017-03-01 |
| 1306386214 | Avishai T. Newuman | Clinic/Center | 1396 Myrtle Ave, Brooklyn, NY 11237-4513 | 2017-02-27 |
| 1013457043 | Parnaz Partovitabar | Physician Assistant | 1396 Myrtle Ave, Brooklyn, NY 11237-4513 | 2017-02-23 |
| 1861949463 | Ghalian Pt PC | Physical Therapist | 1396 Myrtle Ave, Brooklyn, NY 11237 | 2016-09-01 |
| 1477938033 | Avishai Neuman Medical PC | Pain Medicine | 1396 Myrtle Ave, Brooklyn, NY 11237-4513 | 2015-07-24 |
| 1518349521 | Avishai Neuman Medical PC | Pain Medicine | 1396 Myrtle Ave, Brooklyn, NY 11237-4513 | 2015-06-25 |
| 1437531852 | Betzalel Rabinowitz | Nurse Practitioner | 1396 Myrtle Ave, Brooklyn, NY 11237-4513 | 2015-06-22 |
| 1831586932 | Monique J Wise | Physician Assistant | 1396 Myrtle Ave, Brooklyn, NY 11237-4513 | 2015-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1013575554 | Miseon Kang | Counselor | Brooklyn Psychotherapy, 148 Wilson Ave, Brooklyn, NY 11237 | 2019-05-30 |
| 1023598943 | Kathryn Falk | Speech-Language Pathologist | Ps 376 C/o Kathryn Falk, 194 Harman Street, Brooklyn, NY 11237 | 2018-08-20 |
| 1437648870 | Dawn Tya Chapin | Student in an Organized Health Care Education/Training Program | Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237 | 2018-05-01 |
| 1518410471 | Cameron Hetzler | Dentist | 374 Stockholm St., Brooklyn, NY 11237 | 2016-07-27 |
| 1215399043 | Rose R Capuz | Skilled Nursing Facility | 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 | 2016-03-22 |
| 1245695030 | Wyckoff Heights Dental Services, PC | Clinic/Center | Wyckoff Pediatric Care Center - 1411 Myrtle Avenue, Wyckoff Heights Dental Services, PC, Brooklyn, NY 11237 | 2015-12-21 |
| 1245615442 | Estefany Sanchez Mendez | Pediatrics | 374 Stockholm Street - Faculty Practice Dept, Wyckoff Professional and Medical Services, PC, Brooklyn, NY 11237 | 2015-07-29 |
| 1033507231 | Macarena Rufin | Counselor | 315 Wyckoff Ave., 6th Floor, Brooklyn, NY 11237 | 2014-12-23 |
| 1740691021 | Wyckoff Anesthesia and Medical Services, PC | Clinic/Center | 93-95 Wyckoff Ave, Wyckoff Anesthesia and Medical Services, PC, Brooklyn, NY 11237 | 2014-05-08 |
| Find all providers in zip 11237 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710517305 | Angenis Lin | Physician Assistant | 1526 83rd St, Brooklyn, NY 11228-3130 | 2020-01-22 |
| 1740848985 | Mallory Des Champs | Physician Assistant | 7901 4th Ave Ste A20, Brooklyn, NY 11209-3957 | 2019-06-03 |
| 1588140230 | Sharon Cheptum Griesinger | Physician Assistant | 276 Hawthorne St Apt 1, Brooklyn, NY 11225-5908 | 2018-07-16 |
| 1336651629 | Francine Panely | Physician Assistant | 460 Neptune Ave Apt 18r, Brooklyn, NY 11224-4325 | 2017-10-26 |
| 1265951479 | Leah Mcmullen | Physician Assistant | 803 Nostrand Ave Apt 1l, Brooklyn, NY 11225-1539 | 2017-09-19 |
| 1033655378 | Zacharia El-samin | Physician Assistant | 21 Pine Tree Ter, Brooklyn, CT 06234-3324 | 2017-01-10 |
| 1982156816 | Chad Smartt | Physician Assistant | 988 E 39th St, Brooklyn, NY 11210-3508 | 2016-10-26 |
| 1154870913 | Christina Masaitis | Physician Assistant | 2171 E 18th St, Apt 1c, Brooklyn, NY 11229-4468 | 2016-09-22 |
| 1447615737 | Eliezer Gurkov | Physician Assistant | 888 Montgomery St, Apt F12, Brooklyn, NY 11213-5888 | 2015-12-31 |
| 1588039846 | Inna Kremen | Physician Assistant | 2829 Ocean Pkwy Ste 3, Brooklyn, NY 11235-7859 | 2015-12-11 |
| Find all providers in BROOKLYN | ||||
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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.