DONGJIN KIM


Address: 2015 Grand Concourse, Bronx, NY 10453
Phone: 5927992817

DONGJIN KIM (NPI# 1811447501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811447501
Entity Type Individual
Full Name DONGJIN KIM
Practice Address 2015 Grand Concourse
Bronx
NY 10453
Mailing Address 2015 Grand Concourse
Bronx
NY 10453-4303
Practice Telephone 5927992817
Mailing Telephone 5927992817
Enumeration Date 2016-10-06
Last Update Date 2018-06-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
F402047 NY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1545 Inwood Ave, Bronx, NY 104522001 8556818700

Office Location

Street Address 2015 GRAND CONCOURSE
City BRONX
State NY
Zip Code 10453

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780680389 Lewis Rogatnick General Practice 2015 Grand Concourse, Bronx, NY 10453-4303 2005-06-28
1750982807 Muhammad Imran Mir Nurse Practitioner 2015 Grand Concourse, Bronx, NY 10453-4303 2020-11-05
1841890712 Enerolisa Paredes Nurse Practitioner 2015 Grand Concourse, Bronx, NY 10453-4303 2020-10-29
1174123574 Harriet Adwoa Yeboah Nurse Practitioner 2015 Grand Concourse, Bronx, NY 10453-4303 2020-10-27
1386244663 Kimberly Harrison Nurse Practitioner 2015 Grand Concourse, Bronx, NY 10453-4303 2020-10-27
1992304604 Angelique Saavedra Nurse Practitioner 2015 Grand Concourse, Bronx, NY 10453-4303 2020-10-23
1528667847 Isabel Acosta Nurse Practitioner 2015 Grand Concourse, Bronx, NY 10453-4303 2020-10-19
1639776388 Chelsea Onuorah Nurse Practitioner 2015 Grand Concourse, Bronx, NY 10453-4303 2020-10-06
1356948434 Franciou Philippeau Nurse Practitioner 2015 Grand Concourse, Bronx, NY 10453-4303 2020-10-02
1023625639 Anisa Philia Nervais Registered Nurse 2015 Grand Concourse, Bronx, NY 10453-4303 2020-09-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316553225 Victor Felipe Occupational Therapist 2042 Grand Avenue, Apartment 2d, Ny, Apt 2d, Bronx, NY 10453 2020-09-17
1033745849 Jennifer Vargas Student in an Organized Health Care Education/Training Program Bronxcare Health Systems Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 2020-03-13
1457985038 John Steven Contreras Student in an Organized Health Care Education/Training Program Bronxcare Health Systems, Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 2020-02-24
1538799648 Ari Warshawsky Counselor Postgraduate Center for Mental Health, 1775 Grand Concourse, 8th Floor, Bronx, NY 10453 2020-01-17
1407403413 Cristaly Williams Behavioral Analyst 2105 Jerome Avenue, Bronx, NY 10453 2019-08-23
1770041204 Yei Won Lee Student in an Organized Health Care Education/Training Program Bronxcare Health Systems, Dental Dept, 1775 Grand Concourse, 6th Floor, Bronx, NY 10453 2019-03-04
1265905517 William Alexander Jones Jr. Behavior Technician 1749grand Concourse, 1749 Grand Concourse Apt Ph8, Bronx, NY 10453 2019-01-09
1154810737 Emily Patricia Mitchell Occupational Therapist 2105 Jerome Ave, Bronx, NY 10453 2018-05-09
1417445149 Ashna N Shah Student in an Organized Health Care Education/Training Program Bronx Lebanon Hospital Center 6 Th Floor, 1775 Grand Concourse, Bronx, NY 10453 2018-04-27
1700384328 Kevin Ponce Obate Physical Therapist 1975 University Ave, Bronx, NY 10453 2018-01-29
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033734355 Ruth Alexandra Ayure-ortiz Nurse Practitioner 1832 Hone Ave, Bronx, NY 10461-1407 2020-06-11
1578187910 Different Approach Therapy Inc. Nurse Practitioner 2727 Henry Hudson Pkwy Apt 208, Bronx, NY 10463-4740 2020-06-02
1023644218 Canaan Medical LLC Nurse Practitioner 661 Cauldwell Ave, Bronx, NY 10455-1503 2020-03-19
1790332500 Shakiya Mussington Nurse Practitioner 3446 Wickham Ave, Bronx, NY 10469-2629 2019-08-26
1376020065 Clara Ampem-darko Nurse Practitioner 748 Jackson Ave Apt 3b, Bronx, NY 10456-7918 2018-07-25
1174071740 Philippe K. Z. Bah Nurse Practitioner 2700 Hering Ave, Bronx, NY 10469-5321 2016-09-13
1275905994 Reagan Obiozor Anusionwu Np Psychiatry Pllc Nurse Practitioner 548 Throgs Neck Expwy, Bronx, NY 10465 2015-10-21
1043696750 Godwin Okpomo Sr. Nurse Practitioner 2962 Wickham Ave, Bronx, NY 10469-3324 2015-08-04
1306187059 Patrick Akobeh Tigenoah Nurse Practitioner 739 E 242nd St, Apartment 4b, Bronx, NY 10470-1284 2013-03-05
1578850665 Briana Tiffany Morrison Nurse Practitioner 3 Fordham Hill Oval, Apt # 7c, Bronx, NY 10468-4708 2011-07-08
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Competitor

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City BRONX
Zip Code 10453

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Dataset Information

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.

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