DR. CHANG SUNG KIM (NPI# 1902242258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902242258 |
| Entity Type | Individual |
| Full Name | DR. CHANG SUNG KIM |
| Credential | D.C. |
| Practice Address |
2391 Bell Blvd Ste 205 Bayside NY 11360-2019 |
| Practice Telephone | 7182248382 |
| Practice Fax Number | 7182242844 |
| Mailing Telephone | 7182248382 |
| Mailing Fax Number | 7182242844 |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2018-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 012364 | NY | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780036475 | Chang Kim | Dentist | 1971 Mcculloch Blvd N Ste 100, Lake Havasu City, AZ 86403-6118 | 2016-07-06 |
| 1285019059 | Chang Kim | Chiropractor | 2576 Royal Ln, Dallas, TX 75229-3417 | 2015-07-22 |
| 1528373511 | Chang H. Kim | Acupuncturist | 9401 Mathy Dr Ste 100, Fairfax, VA 22031 | 2010-08-13 |
| 1568641199 | Chang K Kim | Acupuncturist | 326 Reservation Rd, Suite E, Marina, CA 93933-3257 | 2007-10-31 |
| 1063516458 | Chang Nam Kim | Psychiatry & Neurology | 1200 Us Highway 46, Clifton, NJ 07013-2440 | 2006-09-07 |
| 1104883768 | Chang Kwon Kim | Surgery | 0n300 Armstrong Ln, Geneva, IL 60134-6081 | 2006-04-27 |
| 1477971430 | Chang Hoon Kim | Internal Medicine | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2014-04-06 |
| 1447375340 | Chang W Kim | Psychiatry & Neurology | 1500 Waters Pl, Bronx, NY 10461-2723 | 2007-03-20 |
| 1942339676 | Chang Choo Kim | Counselor | 35425 W Michigan Ave, Wayne, MI 48184-1687 | 2007-03-06 |
| 1720152507 | Chang O. Kim | Orthopaedic Surgery | 80 Grand Ave, 5th Floor, Oakland, CA 94612-3725 | 2006-11-20 |
| Street Address |
2391 BELL BLVD STE 205 |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11360-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437570009 | New York Speech-language Pathology, Pllc | Speech-Language Pathologist | 2391 Bell Blvd Ste 205, Bayside, NY 11360-2019 | 2013-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446345 | Astride Mompremier | Behavior Technician | 214-10 24thavenue, Suite2, Bayside, NY 11360 | 2020-01-24 |
| 1992208144 | Accredited Dermatologic Surgery, PC | Clinic/Center | 23-83 Bell Blvd, Bayside, NY 11360 | 2018-03-14 |
| 1972041820 | Claudia Gina Block | Specialist | 1815 215 Street, Apt 9r, Bayside, NY 11360 | 2017-02-10 |
| 1720524358 | Ellen Tsang | Occupational Therapist | 215-26 23rd Road, Apt #1, Bay Terrace, NY 11360 | 2017-01-06 |
| 1982051082 | Sonya Sheppard | Registered Nurse | 29-01 216th St, St. Marys Community Care Professionals, Bayside, NY 11360 | 2016-05-18 |
| 1912364373 | Tiffany Ann Avon | Psychologist | 207-28 Jordan Drice, Bayside, NY 11360 | 2016-01-15 |
| 1992178925 | Ira Knobler | Behavioral Analyst | 15-50 212th St, Bayside, NY 11360 | 2015-11-13 |
| 1386028595 | Annalisa Macaluso | Nurse Practitioner | 20568 Brian Crescent, Bayside, NY 11360 | 2015-07-17 |
| 1821497728 | Arthur Ernest Schwartz | General Practice | 216-12 31st Road, Bayside, NY 11360 | 2014-08-15 |
| 1124448121 | Anne Chan-ly, Dds, Pllc | Clinic/Center | 208-54 Cross Island Parkway, Bayside, NY 11360 | 2014-04-17 |
| Find all providers in zip 11360 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932670320 | Kevin Shing Kam | Chiropractor | 1716 201st St Fl 1, Bayside, NY 11360-1019 | 2018-12-10 |
| 1811487408 | Vilan Chiropractic PC | Chiropractor | 5847 Francis Lewis Blvd Ste 14a, Bayside, NY 11364-1601 | 2018-05-18 |
| 1255847695 | Bklyn Chiropractic PC | Chiropractor | 20935 Northern Blvd, Bayside, NY 11361-3134 | 2017-12-21 |
| 1508311135 | New York Core Chiropractic P.C. | Chiropractor | 20935 Northern Blvd Ste 209a, Bayside, NY 11361-3134 | 2016-08-24 |
| 1053783266 | Tuscarora Chiropractic P.C. | Chiropractor | 4106 Bell Blvd, Bayside, NY 11361-2857 | 2015-10-27 |
| 1669848750 | Sooyeon Gim | Chiropractor | 20019 46th Ave, Bayside, NY 11361-3018 | 2015-08-12 |
| 1457757296 | Jennifer Honor | Chiropractor | 22640 Kingsbury Ave, Bayside, NY 11364-3126 | 2014-11-05 |
| 1740683663 | Chun Hyung Park | Chiropractor | 21519 39th Ave Unit 3, Bayside, NY 11361-2114 | 2014-10-06 |
| 1366859761 | Ivan Lam | Chiropractor | 20935 Northern Blvd Ste 209, Bayside, NY 11361-3134 | 2014-07-17 |
| 1881010981 | Wendy Mckay | Chiropractor | 200-14 44th Avenue, Bayside, NY 11361 | 2014-03-13 |
| Find all providers in BAYSIDE | ||||
Please comment or provide details below to improve the information on DR. CHANG SUNG KIM.
| 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.