Tara Kim (NPI# 1316246960, PAC ID# 4789906496) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
Nation Provider ID (NPI) | 1316246960 |
PAC ID by PECOS | 4789906496 |
Professional Enrollment ID | I20141209000655 |
Full Name | Tara Kim |
Organization Legal Name | NORTH SHORE-LIJ MEDICAL PC |
Address |
560 Northern Blvd Great Neck NY 11021-5118 |
Phone Number | 5164820600 |
Gender | F |
Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
Graduation Year | 2011 |
Primary Specialty | ENDOCRINOLOGY |
Group Practice PAC ID | 3375701568 |
Number of Group Practice Members | 3620 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330106 | NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET |
Address | Phone | Organization |
---|---|---|
10201 66th Rd, Forest Hills, NY 11375-2029 | 7188304000 | NORTH SHORE-LIJ MEDICAL PC |
560 Northern Blvd, Great Neck, NY 11021-5118 | 5164820600 | NORTH SHORE-LIJ MEDICAL PC |
560 Northern Blvd, Suite 214, Great Neck, NY 11021-5118 | 5164820600 | NORTH SHORE-LIJ MEDICAL PC |
560 Northern Boulevard, Great Neck, NY 11021-5118 | 8553646257 | NORTH SHORE-LIJ MEDICAL PC |
865 Northern Blvd, Great Neck, NY 11021-5310 | 5166225070 | NORTH SHORE-LIJ MEDICAL PC |
865 Northern Boulevard, Great Neck, NY 11021-5310 | NORTH SHORE-LIJ MEDICAL PC | |
300 Community Dr, Manhasset, NY 11030-3816 | NORTH SHORE-LIJ MEDICAL PC | |
300 Community Dr Ll, Manhasset, NY 11030-3816 | 5165622229 | NORTH SHORE-LIJ MEDICAL PC |
330 Community Dr, Manhasset, NY 11030-3816 | 5167082550 | NORTH SHORE-LIJ MEDICAL PC |
350 Community Dr, Manhasset, NY 11030-3816 | 5165623845 | NORTH SHORE-LIJ MEDICAL PC |
27005 76th Ave, New Hyde Park, NY 11040-1402 | NORTH SHORE-LIJ MEDICAL PC | |
27005 76th Ave Gf, New Hyde Park, NY 11040-1402 | 7184707501 | NORTH SHORE-LIJ MEDICAL PC |
Organization Legal Name | NORTH SHORE-LIJ MEDICAL PC |
Physicians | 3634 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dana Elizabeth Coletto | Nurse Practitioner | North Shore-lij Medical PC | 1350 Northern Blvd, Suite 202, Manhasset, NY 11030-3013 |
Grace E Berlin | Rheumatology | North Shore-lij Medical PC | 1551 Richmond Rd, Suite 1a, Staten Island, NY 10304-2338 |
Wai C Man | Hospitalist | North Shore-lij Medical PC | 101 Saint Andrews Ln, Suite 1, Glen Cove, NY 11542-2254 |
Calley Hannah Salomon Levine | Gastroenterology | North Shore-lij Medical PC | 600 Northern Boulevard, Suite 111, Great Neck, NY 11021-5200 |
Glenn Joseph Forrester | General Surgery | North Shore-lij Medical PC | 777 N Broadway, Sleepy Hollow, NY 10591-1000 |
Nehal Shukla | Family Medicine | North Shore-lij Medical PC | 330 Community Dr, Manhasset, NY 11030-3816 |
Pooja R Shah | Dermatology | North Shore-lij Medical PC | 1991 Marcus Ave, Suite 302, New Hyde Park, NY 11042-2058 |
Ayesha T Ali | Infectious Disease | North Shore-lij Medical PC | 500 W Main St, Babylon, NY 11702-3027 |
Henny Liwan | Obstetrics/gynecology | North Shore-lij Medical PC | 404 Potter Blvd, Brightwaters, NY 11718-1830 |
Perumal Thiyagarajan | Hospitalist | North Shore-lij Medical PC | 221 Jericho Turnpike, Syosset, NY 11791-4515 |
Street Address |
560 NORTHERN BLVD |
City | GREAT NECK |
State | NY |
Zip | 11021-5118 |
Name | Specialty | Organization | Address |
---|---|---|---|
Seth G Friedman | Endocrinology | Endocrine Associates of Nassau Andqueens,p.c | 560 Northern Blvd, Suite 207, Great Neck, NY 11021-5100 |
Susan H Wasserman | Endocrinology | Endocrine Associates of Nassau Andqueens,p.c | 560 Northern Blvd, Suite 207, Great Neck, NY 11021-5100 |
Andrea M Fusco | Anesthesiology | North Shore-lij Anesthesiology PC | 560 Northern Blvd, Suite 203, Great Neck, NY 11021-5113 |
Terri A Norden | Pain Management | 560 Northern Blvd, Suite 106, Great Neck, NY 11021-5100 | |
Arthur Cooperman | Anesthesiology | North Shore-lij Anesthesiology PC | 560 Northern Blvd, Suite 203, Great Neck, NY 11021-5113 |
Christina H Park | Internal Medicine | North Shore-lij Medical PC | 560 Northern Blvd, Great Neck, NY 11021-5118 |
Neal A Sloane | Qualified Audiologist | 560 Northern Blvd, Suite 104, Great Neck, NY 11021-5100 | |
Matthew O Horowitz | Internal Medicine | North Shore-lij Medical PC | 560 Northern Blvd, Great Neck, NY 11021-5118 |
Stephen M Silverman | Addiction Medicine | 560 Northern Blvd, Suite 201, Great Neck, NY 11021-5113 | |
Patrick S Chang | Internal Medicine | North Shore-lij Medical PC | 560 Northern Blvd, Great Neck, NY 11021-5118 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Victor J Defazio | Psychologist, Clinical | 10 Grave Ave, Suite 9, Great Neck, NY 11021 | |
Philip M Ninan | Psychiatry | 935 Northern Boulevard, Suite 102, Great Neck, NY 11021 | |
Jerelyn R Marcus | Optometry | 93 Bayview Ave, Great Neck, NY 11021-1015 | |
Daniel Aryeh | Physical Therapy | 200 Middle Neck Rd, Suite H, Great Neck, NY 11021-1107 | |
Helen Beegel | Clinical Social Worker | 160 Middle Neck Rd, Apt 3b, Great Neck, NY 11021-1207 | |
Rosalie L Feder | Clinical Social Worker | 134 Middleneck Rd, Great Neck, NY 11021-1224 | |
Mitchell Siegel | Podiatry | 32 Maple Dr, Great Neck, NY 11021-1240 | |
Eleonora Tamayeva | Optometry | Great Neck Optometrist PC | 146 Middle Neck Rd, Great Neck, NY 11021-1246 |
Kioomars Moosazadeh | Physical Medicine and Rehabilitation | 140 Middle Neck Rd, Great Neck, NY 11021-1246 | |
Ebrahim Sadighim | Internal Medicine | 138 Middle Neck Rd, Great Neck, NY 11021-1246 | |
Find all physicians in zip 11021 |
City | GREAT NECK |
Zip Code | 11021 |
Specialty | ENDOCRINOLOGY |
City + Specialty | GREAT NECK + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Tara Kim.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.