DR. JIN AH KIM (NPI# 1598164113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598164113 |
| Entity Type | Individual |
| Full Name | DR. JIN AH KIM |
| Credential | M.D. |
| Practice Address |
100 E 77th St New York NY 10075-1850 |
| Mailing Address |
382 Central Park W Apt 17d New York NY 10025-6037 |
| Practice Telephone | 2124342885 |
| Mailing Telephone | 6464558822 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
290240 | NY | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
290240 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619098316 | Jin Ah Renee Kim | Social Worker | 12655 Sw Center St, Suite # 470, Beaverton, OR 97005-1600 | 2007-04-02 |
| 1285285866 | Jin Ah Kim | Behavior Technician | 533 E Micheltorena St Ste 101, Santa Barbara, CA 93103-2260 | 2019-09-24 |
| Street Address |
100 E 77TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10075-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942206081 | Shanthamallappa Ashok | Anesthesiology | 100 E 77th St, New York, NY 10021-1850 | 2005-06-23 |
| 1952902140 | Dominique Anselmin | Physician Assistant | 100 E 77th St, New York, NY 10075-1850 | 2020-11-04 |
| 1780290668 | Tiffany Wong | Pharmacist | 100 E 77th St, New York, NY 10075-1850 | 2020-09-16 |
| 1023621059 | Brandon Capaldo | Physician Assistant | 100 E 77th St, New York, NY 10075-1850 | 2020-08-28 |
| 1629688957 | Carey Davidson | Physician Assistant | 100 E 77th St, New York, NY 10075-1850 | 2020-08-02 |
| 1588273585 | Erin Rose May | Nurse Practitioner | 100 E 77th St, New York, NY 10075-1850 | 2020-07-26 |
| 1477162790 | Michael Jonathan Stein | Surgery | 100 E 77th St, New York, NY 10075-1850 | 2020-07-23 |
| 1881212660 | Mary Victoria Rizzo | Physician Assistant | 100 E 77th St, New York, NY 10075-1850 | 2020-07-08 |
| 1295350312 | Sahar Nematollah Zadeh Mahani | Student in an Organized Health Care Education/Training Program | 100 E 77th St, New York, NY 10075-1850 | 2020-06-15 |
| 1013538180 | Ashley Warman | Clinical Ethicist | 100 E 77th St, New York, NY 10075-1850 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
| 1528602810 | Jane C Karsh | Social Worker | 50 East 78th St. #9a, New York, NY 10075 | 2019-10-30 |
| 1417513052 | Up Up and Away Behavior Analytics PC | Behavioral Analyst | 435 East 79th Street, Apt. 6u, New York, NY 10075 | 2019-05-18 |
| 1730742727 | Liron Bar-el | Student in an Organized Health Care Education/Training Program | 100 E 77th Street, New York, 4 Wollman, Room #453, New York, NY 10075 | 2019-04-16 |
| 1912468380 | Doaa Morrar | Student in an Organized Health Care Education/Training Program | 100 East 77th Street 12 Wollman, Department of Pathology, New York, NY 10075 | 2019-03-28 |
| 1588138382 | Nichola Stimpson | Registered Nurse | Lenoxhill Hospital 100 East, 77 Street, New York, NY 10075 | 2019-01-15 |
| 1316433147 | Lindsay Dudek | Advanced Practice Midwife | 336 E 77th St Apt 19, New York, NY 10075 | 2018-07-04 |
| 1104315480 | Erica Refkin | Speech-Language Pathologist | Lenox Hill Hospital, 100 E. 77th Street, New York, NY 10075 | 2018-05-02 |
| 1275021198 | Yaniv Yosef Brailovschi | Student in an Organized Health Care Education/Training Program | 130 77th Street 2 Black Hall, New York, NY 10075 | 2018-04-26 |
| 1952807687 | James Chris Velasquez IIi | Student in an Organized Health Care Education/Training Program | 520 E 79th, 4b, New York, NY 10075 | 2018-04-02 |
| Find all providers in zip 10075 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639720451 | Christophe Cloutier Lambert | Radiology | 1233 York Ave Apt 6m, New York, NY 10065-6342 | 2019-09-23 |
| 1437702727 | Pamela Ines Causa Andrieu | Radiology | 1233 York Ave Apt 19l, New York, NY 10065-6342 | 2019-07-16 |
| 1689231235 | Midtown Diagnostic Group, Inc | Radiology | 353 W 48th St Ste 450, New York, NY 10036-1324 | 2019-05-20 |
| 1659841013 | Midtown West Radiology P.C. | Radiology | 35 Seacoast Terrace, #20n, New York, NY 11235 | 2018-11-28 |
| 1407380272 | Joseph Charles Herring | Radiology | 506 Lenox Ave # Mlk6201, New York, NY 10037-1802 | 2017-04-18 |
| 1639542939 | Kolb Radiology P.C. | Radiology | 307 E 60th St, New York, NY 10022-1505 | 2015-11-09 |
| 1346645652 | Srm Radiology Associates PC | Radiology | 639 W End Ave, #pha, New York, NY 10025-7343 | 2014-10-29 |
| 1366882425 | Christopher John Burke | Radiology | 545 1st Ave # Gbhc124, New York, NY 10016-6401 | 2013-07-03 |
| 1356784490 | Jeffrey Michael Gnerre | Radiology | 150 E 42nd St Fl 4, New York, NY 10017 | 2013-04-08 |
| 1205179686 | James Bai | Radiology | 660 1st Ave Fl 1, New York, NY 10016-3295 | 2013-04-03 |
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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.