DR. IRENE E KIM (NPI# 1750541215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750541215 |
| Entity Type | Individual |
| Full Name | DR. IRENE E KIM |
| Credential | NP |
| Practice Address |
22215 Northern Blvd Bayside NY 11361-3678 |
| Mailing Address |
222-15 Northern Blvd C1 Bayside NY 11361-2201 |
| Practice Telephone | (718) 352-6093 |
| Mailing Telephone | (718) 352-6093 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2017-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F400787 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952545014 | Irene Kim | Neurological Surgery | 999 N 92nd St Ste 310, Milwaukee, WI 53226-4875 | 2009-04-20 |
| 1487605929 | Irene H Kim | Dentist | 28 Homewood Dr, Morristown, NJ 07960-7907 | 2006-05-12 |
| 1447891536 | Irene Jean Kim | Physician Assistant | 311 Winston St, Los Angeles, CA 90013-1519 | 2019-10-01 |
| 1013411602 | Irene Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2018-03-20 |
| 1003339953 | Irene T Kim | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2017-07-24 |
| 1013389592 | Irene Kim | Pharmacist | 1802 Main St, Chester, MD 21619-2604 | 2015-10-23 |
| 1235420241 | Irene April Kim | Otolaryngology | 200 Medical Plaza, Ste 550, Los Angeles, CA 90024-0000 | 2011-04-25 |
| 1932390390 | Irene K Kim | Transplant Surgery | 8635 W 3rd St Ste 590w, Los Angeles, CA 90048-6163 | 2007-08-09 |
| Street Address |
22215 NORTHERN BLVD |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11361-3678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952491698 | Vinay Kapoor | Internal Medicine | 22215 Northern Blvd, Ste. Ll-b, Bayside, NY 11361-3603 | 2006-10-13 |
| 1801424718 | Lareessa Affriany | Licensed Practical Nurse | 22215 Northern Blvd, Bayside, NY 11361-3678 | 2020-03-28 |
| 1710513379 | Melissa De Las Nueces | Registered Nurse | 22215 Northern Blvd, Bayside, NY 11361-3678 | 2020-03-16 |
| 1659901999 | Shiela Pijeau | Registered Nurse | 22215 Northern Blvd, Bayside, NY 11361-3678 | 2020-01-24 |
| 1528698065 | Lenny Dominique | Licensed Practical Nurse | 22215 Northern Blvd, Bayside, NY 11361-3678 | 2020-01-23 |
| 1629613385 | Kayla Winchester | Physical Therapist | 22215 Northern Blvd, Bayside, NY 11361-3678 | 2019-11-16 |
| 1851941520 | Layeka Jeune | Licensed Practical Nurse | 22215 Northern Blvd, Bayside, NY 11361-3678 | 2019-09-16 |
| 1851953152 | Gina Lubin | Registered Nurse | 22215 Northern Blvd, Bayside, NY 11361-3678 | 2019-07-08 |
| 1316507700 | Patricia Nicolescu | Registered Nurse | 22215 Northern Blvd, Bayside, NY 11361-3678 | 2019-06-18 |
| 1922563766 | Deon Henlon | Licensed Practical Nurse | 22215 Northern Blvd, Bayside, NY 11361-3678 | 2019-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467078055 | Nicole E. Sarracco | Speech-Language Pathologist | 215 - 46 39th Avenue, Flushing, NY 11361 | 2020-06-19 |
| 1689294381 | Terri Robin Will | Registered Nurse | 3416 2019th Street, Queens, NY 11361 | 2020-04-22 |
| 1295364875 | Melanie Besthoff | Speech-Language Pathologist | 215-46 39th Avenue, Flushing, NY 11361 | 2020-04-05 |
| 1790339844 | Alana Valle | Occupational Therapist | 20947 34th Rd, Bayside, NY 11361 | 2019-07-26 |
| 1881175826 | Eva Mui | Pharmacist | 212 Northern Blvd, Bayside, NY 11361 | 2018-08-28 |
| 1063908531 | Hongik Acupuncture N.y. P.C. | Acupuncturist | 21441 42nd Ave Ste 4c, Bayside, NY 11361 | 2018-07-07 |
| 1093233694 | Karen Trentacosta | Registered Nurse | 40-04a Bell Boulevard, Bayside, NY 11361 | 2017-09-03 |
| 1801310131 | Hee Gi An | Dentist | 42-05 204th St, Flr 2, Bayside, NY 11361 | 2017-07-28 |
| 1780113050 | Miaoying Zhu | Social Worker | 217-63 Corbett Rd, Bayside, NY 11361 | 2017-06-08 |
| 1679016265 | Daniela Ragusa | Speech-Language Pathologist | 221-21 Corbett Road, Bayside, NY 11361 | 2016-11-30 |
| Find all providers in zip 11361 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023522596 | Oke Joo N/a Yoo | Nurse Practitioner | 2629 210th St, Bayside, NY 11360-2446 | 2017-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
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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.