DR. CHRISTY KIM (NPI# 1912211384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912211384 |
Entity Type | Individual |
Full Name | DR. CHRISTY KIM |
Credential | MD |
Practice Address |
19 Bradhurst Ave Suite 1400 Hawthorne NY 10532-2140 |
Mailing Address |
50 Plaza W Munger Pavilion, Room 106 Valhalla NY 10595-1574 |
Practice Telephone | 9144937585 |
Practice Fax Number | 9145944336 |
Mailing Telephone | 9144937585 |
Mailing Fax Number | 9145944336 |
Enumeration Date | 2010-07-28 |
Last Update Date | 2013-04-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
254404 | NY | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083801906 | Christy A Kim | Dentist | 2310 130th Ave Ne Ste B-102, Bellevue, WA 98005-1799 | 2007-09-25 |
1538577689 | Christy Kim | Pharmacist | 31700 Grape St, Lake Elsinore, CA 92532-9785 | 2014-07-31 |
1427331297 | Christy D Kim | Pharmacist | 8046 Macon Rd, Cordova, TN 38018-8531 | 2011-09-27 |
1457440356 | Christy Kim | Physical Therapist | 240 Wall St, West Long Branch, NJ 07764-1181 | 2006-10-11 |
1295743904 | Christy Kim | Pharmacist | 1415 Lake Cook Rd, Ms #l449, Deerfield, IL 60015-5213 | 2006-08-04 |
Street Address |
19 BRADHURST AVE SUITE 1400 |
City | HAWTHORNE |
State | NY |
Zip Code | 10532-2140 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437152618 | Martin Cohen | Internal Medicine | 19 Bradhurst Ave, Ste 3850s, Hawthorne, NY 10532-2140 | 2005-05-23 |
1194368472 | Susan Eleanora Russo | Dietitian, Registered | 19 Bradhurst Ave, Hawthorne, NY 10532-2140 | 2019-10-19 |
1326536434 | Amanda Elizabeth Muldoon | Audiologist | 19 Bradhurst Ave, Hawthorne, NY 10532-2140 | 2018-04-24 |
1992252662 | Daniela Levin | Physician Assistant | 19 Bradhurst Ave, Ste 3050n, Hawthorne, NY 10532-2140 | 2016-09-09 |
1831564616 | Diane Lindsay-adler | Dietitian, Registered | 19 Bradhurst Ave, Hawthorne, NY 10532-2140 | 2015-12-05 |
1730551755 | Alessandra Marino | Physician Assistant | 19 Bradhurst Ave, Suite 2575, Hawthorne, NY 10532-2140 | 2015-10-29 |
1093190043 | Adedoyin Solomon | Nurse Practitioner | 19 Bradhurst Ave, Suite 2300, Hawthorne, NY 10532-2140 | 2015-07-20 |
1912396219 | Jaclyn Basso | Nurse Practitioner | 19 Bradhurst Ave, Suite 1400, Hawthorne, NY 10532-2140 | 2015-01-10 |
1073919874 | Jessica Hoffman | Audiologist | 19 Bradhurst Ave, Ste 3600s, Hawthorne, NY 10532-2140 | 2014-11-06 |
1841693413 | Amy Sue Habeck | Dietitian, Registered | 19 Bradhurst Ave, Suite 1700, Hawthorne, NY 10532-2140 | 2014-09-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447792924 | Avril Dunbar | Registered Nurse | 228-500 Linda Ave, Hawthorne, NY 10532 | 2016-11-15 |
1134572704 | Ronald Tomlinson Jr. | Licensed Practical Nurse | 228- 500 Linda Avenue, Hawthorne, NY 10532 | 2016-07-19 |
1831566843 | Noble A Thomas | Chiropractor | 153 Broadway Ste 1, Hawthorne, NY 10532 | 2015-08-25 |
1790169068 | Sheila Astorino | Case Manager/Care Coordinator | 281 Pythian Avenue, Hawthorne, NY 10532 | 2015-07-16 |
1962801381 | Edison Pena | Student in an Organized Health Care Education/Training Program | 2226 Linda Avenue, Hawthorne, NY 10532 | 2014-08-21 |
1093029720 | Kathleen B Shaps | Registered Nurse | 226 Linda Avenue, Hawthorne, NY 10532 | 2010-08-05 |
1457580839 | Tracey Leah Shannon | Nurse Practitioner | 19 Bradhurst Ave Ste 3850s, Hawthorne, NY 10532 | 2009-07-07 |
1033364930 | Aldo Joseph Porco Md | Psychiatry & Neurology | 500 Linda Ave., Hawthorne, NY 10532 | 2008-11-20 |
1164675443 | Joanne Mary Bortone | Occupational Therapist | 1 Skyline Drive Suite 298, Kidabilities, Hawthorne, NY 10532 | 2008-10-30 |
1306094420 | Jeffrey Scott Anderson | Counselor | 226 Linda Ave., Hawthorne, NY 10532 | 2008-09-03 |
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Taxonomy Code | 2080P0214X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Pulmonology |
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275860611 | Elizabeth De La Riva-velasco | Pediatrics | 19 Bradhurst Ave, Suite 1400, Hawthorne, NY 10532-2140 | 2009-11-05 |
1548252828 | Youngsook Cathy Kim | Pediatrics | 19 Bradhurst Ave, Ste. 1400, Hawthorne, NY 10532-2140 | 2005-08-22 |
1902898588 | Suzette Gjonaj | Pediatrics | 19 Bradhurst Ave, Ste 1400, Hawthorne, NY 10532-2140 | 2005-08-18 |
1285626077 | Nikhil Amin | Pediatrics | 19 Bradhurst Ave, Ste. 1400, Hawthorne, NY 10532-2140 | 2005-08-17 |
1235139684 | John J Welter | Pediatrics | 19 Bradhurst Ave, Ste. 1400, Hawthorne, NY 10532-2140 | 2005-07-28 |
1801896238 | Allen J Dozor | Pediatrics | 19 Bradhurst Ave, Ste. 1400, Hawthorne, NY 10532-2140 | 2005-07-28 |
1427058866 | Sankaran S Krishnan | Pediatrics | 19 Bradhurst Ave, Ste. 1400, Hawthorne, NY 10532-2140 | 2005-07-28 |
1356341663 | Joseph T Boyer | Pediatrics | 19 Bradhurst Ave, Ste. 1400, Hawthorne, NY 10532-2140 | 2005-07-28 |
1861492209 | Diana B Lowenthal | Pediatrics | 19 Bradhurst Ave, Ste. 1400, Hawthorne, NY 10532-2140 | 2005-07-28 |
1811997257 | Nadav Traeger | Pediatrics | 19 Bradhurst Ave, Ste. 1400, Hawthorne, NY 10532-2140 | 2005-07-28 |
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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.