DR. SOON YOUNG KIM (NPI# 1710121074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710121074 |
| Entity Type | Individual |
| Full Name | DR. SOON YOUNG KIM |
| Credential | DPT |
| Practice Address |
1311 55th St Brooklyn NY 11219-4202 |
| Mailing Address |
17 Beechwood Ave Metuchen NJ 08840-2106 |
| Practice Telephone | 7188516100 |
| Mailing Telephone | 7325161927 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
014640-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841315231 | Soon Kuyn Kim | Psychiatry & Neurology | 29433 Southfield Rd, Suite 201, Southfield, MI 48076-2031 | 2007-03-21 |
| 1023095643 | Soon Ja Kim | Family Medicine | 5808 Main St, Elkridge, MD 21075-5105 | 2005-12-23 |
| 1689813149 | Soon Ae Kim | Chiropractor | 2950 Horizon Park Drive, Suite D, Suwanee, GA 30024 | 2009-02-06 |
| 1649381153 | Soon Kim | Surgery | 1516 Virginia Ranch Rd, Gardnerville, NV 89410-5794 | 2006-08-31 |
| 1346200508 | Soon Gum Kim | Internal Medicine | 1705 E 19th St, Suite 302, Tulsa, OK 74104-5405 | 2006-03-23 |
| 1396735551 | Soon H Kim | Anesthesiology | 12303 Depaul Drive, Bridgeton, MO 63044 | 2005-10-27 |
| Street Address |
1311 55TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265687933 | Esmeralda Zafires Rivera | Physical Therapist | 1311 55th St, Brooklyn, NY 11219-4202 | 2008-11-22 |
| 1184083255 | Meira Josovich | Specialist | 1311 55th St, Brooklyn, NY 11219-4202 | 2016-02-18 |
| 1376922880 | Blima Stamm | Specialist | 1311 55th St, Brooklyn, NY 11219-4202 | 2015-05-29 |
| 1871909499 | Diana Lazare | Specialist | 1311 55th St, Brooklyn, NY 11219-4202 | 2014-07-02 |
| 1609280221 | Esther Pollack | Specialist | 1311 55th St, Brooklyn, NY 11219-4202 | 2014-06-12 |
| 1558785196 | Mathew Gorin | Specialist | 1311 55th St, Brooklyn, NY 11219-4202 | 2014-02-18 |
| 1164853370 | Cecile Brick | Specialist | 1311 55th St, Brooklyn, NY 11219-4202 | 2013-12-13 |
| 1578900981 | Denise Springer-culpepper | Case Management | 1311 55th St, Brooklyn, NY 11219-4202 | 2013-05-24 |
| 1033556519 | Hebrew Academy for Special Children | Early Intervention Provider Agency | 1311 55th St, Brooklyn, NY 11219-4202 | 2013-05-24 |
| 1750621876 | Rachel Silberstein | Specialist | 1311 55th St, Brooklyn, NY 11219-4202 | 2013-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952884934 | Jumping Feet Mgmt Corp. | Physical Therapist | 175 19th St Apt 501, Brooklyn, NY 11232-1026 | 2018-09-14 |
| 1528571858 | Rivkah Shuchat | Physical Therapist | Homecare, Brooklyn, NY 11213 | 2017-11-08 |
| 1295273316 | Hanna Minsky | Physical Therapist | 633 E New York Ave, 2lf, Brooklyn, NY 11203-1171 | 2017-02-09 |
| 1912374513 | Nordia Binns | Physical Therapist | 671 E 77th St, Brooklyn, NY 11236-3315 | 2015-08-31 |
| 1760883029 | Jj Physical Therapy PC | Physical Therapist | 111 Bushwick Avenue, Block 2790 Lot 27, Brooklyn, NY 11206 | 2014-09-05 |
| 1235471749 | Kristine Philliponi | Physical Therapist | 108 N Henry St, 3l, Brooklyn, NY 11222-4272 | 2013-03-22 |
| 1265772594 | Urmiben Patel | Physical Therapist | 1640 63rd St, Brooklyn, NY 11204-2713 | 2013-02-23 |
| 1518204189 | Divya Sehgal | Physical Therapist | 202 Foster Ave Ste B, Brooklyn, NY 11230-2130 | 2013-01-15 |
| 1629344379 | Ehab Gameel Naguib | Physical Therapist | 791 Empire Blvd, Brooklyn, NY 11213-5653 | 2012-03-27 |
| 1538432992 | Olga Shraer | Physical Therapist | 407 Smith St, Brooklyn, NY 11231-4520 | 2012-02-15 |
| 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.