DR. YONG R KIM (NPI# 1629067483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629067483 |
| Entity Type | Individual |
| Full Name | DR. YONG R KIM |
| Credential | M.D. |
| Practice Address |
8635 Queens Blvd Suite1e Elmhurst NY 11373-4434 |
| Practice Telephone | 7182054544 |
| Practice Fax Number | 7182055594 |
| Mailing Telephone | 7182054544 |
| Mailing Fax Number | 7182055594 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2007-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 209364 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01897034 | 05 | |
| NY | GHI-MEDICARE | 06378G | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982095766 | Yong Lan Kim | Acupuncturist | 3044 W 7th St, Los Angeles, CA 90005-1452 | 2015-02-14 |
| 1134480684 | Yong Kim | Dentist | 11 The Boulvevard Street, Suite 1 Level 2, Strathfield, NSW 2135 | 2012-05-31 |
| 1265684161 | Yong Soo Kim | Dentist | 618th Dental Company Unit#15653, Camp Red Cloud, Apo, AP 96258-5653 | 2008-10-22 |
| 1205000692 | Yong Sung Kim | Acupuncturist | 249 E. Beverly Blvd., #b, Montebello, CA 90640-4752 | 2008-04-16 |
| 1265604433 | Yong Hun Kim | Acupuncturist | 998 E El Camino Real Ste 202, Sunnyvale, CA 94087-7913 | 2008-03-28 |
| 1720256076 | Yong Mo Kim | Pharmacist | 1797 Lexington Ave (pharmacy), New York, NY 10029 | 2008-02-20 |
| 1588844971 | Yong Kee Kim | Acupuncturist | 20314a Norwalk Blvd, Lakewood, CA 90715-1539 | 2007-11-14 |
| 1316127533 | Yong Hyun Kim | Dentist | 6525-c Frontier Dr., Springfield, VA 22150 | 2007-11-05 |
| 1356535124 | Yong Kyu Kim | Chiropractor | 5453 N Macarthur Blvd, Irving, TX 75038-3104 | 2007-09-05 |
| 1831312644 | Yong Yul Kim | Dentist | 3100 W 8th St, Suite 105, Los Angeles, CA 90005-1978 | 2007-04-10 |
| Street Address |
8635 QUEENS BLVD SUITE1E |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373-4434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739493 | Svc of Elmhurst LLC | Eyewear Supplier (Equipment, not the service) | 8635 Queens Blvd, Elmhurst, NY 11373-4434 | 2020-08-03 |
| 1578180881 | Leidy Tatiana Velilla | Physical Therapist | 8635 Queens Blvd, Elmhurst, NY 11373-4434 | 2020-07-02 |
| 1336509058 | Shipra Chokshi | Physical Therapist | 8635 Queens Blvd, Suite 1b, Elmhurst, NY 11373-4434 | 2016-02-24 |
| 1730547472 | Shail Ishan Shah | Physical Therapist | 8635 Queens Blvd, Suite 1b, Elmhurst, NY 11373-4434 | 2016-02-09 |
| 1942685649 | Comprehensive Diagnostic Imaging Services P.C. | Radiology | 8635 Queens Blvd, Suite 2lm, Elmhurst, NY 11373-4434 | 2015-07-23 |
| 1902214208 | Ann Sharon Winter | Technician/Technologist | 8635 Queens Blvd, Suite 1d, Elmhurst, NY 11373-4434 | 2014-07-30 |
| 1558700617 | Wise Choice Physical Therapy, P.c | Physical Therapist | 8635 Queens Blvd, Suite 1b, Elmhurst, NY 11373-4434 | 2013-06-21 |
| 1487098679 | Cardio Vascular Diagnostics PC | Internal Medicine | 8635 Queens Blvd, Suite 2lm, Elmhurst, NY 11373-4434 | 2013-04-18 |
| 1417298530 | Dalmacio Francisco, Md, PC | Internal Medicine | 8635 Queens Blvd, Suite 1b, Elmhurst, NY 11373-4434 | 2013-03-14 |
| 1386988921 | Blvd Skin Clinic | Acupuncturist | 8635 Queens Blvd, 1-a, Elmhurst, NY 11373-4434 | 2012-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1013378793 | Primacare Family Medicine Pllc | Family Medicine | 84-25 Elmhurst Ave. Unit P2, Elmhurst, NY 11373 | 2016-03-09 |
| 1619388923 | Tiana Carrillo Calderon | Family Medicine | 1200 S York St Ste 4140, Elmhurst, IL 60126-5630 | 2014-05-08 |
| 1740600568 | Kamna Gupta | Family Medicine | 9119 Queens Blvd, Elmhurst, NY 11373-5531 | 2014-04-19 |
| 1376969576 | Stacy Allison Debarros | Family Medicine | 4010 Forley St, Elmhurst, NY 11373-1427 | 2014-03-12 |
| 1023378684 | Odon D. Terrado | Family Medicine | 879 S Washington St, Elmhurst, IL 60126-4844 | 2012-05-16 |
| 1790913580 | Liwen Zhu | Family Medicine | 84-25 Elmhurst Ave., Unit# P2, Elmhurst, NY 11373 | 2009-06-30 |
| 1184875536 | Phillips Family Medical Center Sc | Family Medicine | 242 N York St Ste 106, Elmhurst, IL 60126-2746 | 2008-10-03 |
| 1871752220 | Lisa Berman | Family Medicine | 109 W Adams St, Elmhurst, IL 60126-4873 | 2008-06-02 |
| 1326234402 | Josephine Dwintarti Julian | Family Medicine | 5116 74th St, Elmhurst, NY 11373-4107 | 2007-09-21 |
| Find all providers in ELMHURST | ||||
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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.