DR. JIN SUK CALVIN KIM (NPI# 1093071730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093071730 |
| Entity Type | Individual |
| Full Name | DR. JIN SUK CALVIN KIM |
| Credential | MD |
| Practice Address |
622 West 168th Street New York NY 10032 |
| Mailing Address |
180 Fort Washington Ave Rm. Hp 8-814 New York NY 10032-3722 |
| Practice Telephone | 2123056081 |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2016-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 130574 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
622 WEST 168TH STREET |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922055854 | Nina Brogle | Radiology | 622 West 168th Street, New York, NY 10032 | 2006-05-27 |
| 1730780677 | Rompin Shih | Counselor | 622 West 168th Street, Chony North B11, New York, NY 10032-1003 | 2020-11-06 |
| 1366065518 | Kate Qianyue Zhang | Student in an Organized Health Care Education/Training Program | 622 West 168th Street, 8th Floor Dental Clinic, New York, NY 10032 | 2020-05-22 |
| 1629697248 | Nicholas Gadsden | Student in an Organized Health Care Education/Training Program | 622 West 168th Street, Dept of Anesthesiology, New York, NY 10032 | 2020-04-14 |
| 1144857954 | Gerard Francis Marciano | Student in an Organized Health Care Education/Training Program | 622 West 168th Street, Ph11 - 1102, New York, NY 10032 | 2020-03-24 |
| 1902366115 | Akinrinola Famuyide | Radiology | 622 West 168th Street, New York, NY 10032 | 2019-03-22 |
| 1689133217 | Nicholas Lange | Pharmacist | 622 West 168th Street, Vc-basement, New York, NY 10032 | 2019-03-13 |
| 1376010322 | Margaret O'connor Cuomo | Nurse Practitioner | 622 West 168th Street, Ph12, Room 1270, New York, NY 10032 | 2018-10-29 |
| 1114432671 | Columbia University Health Care, Inc. | Clinic/Center | 622 West 168th Street, Vanderbilt Clinic 9th Floor, New York, NY 10032-3720 | 2017-12-06 |
| 1023520095 | Horia Vulpe | Radiology | 622 West 168th Street, Chony North B Level, Room 11, New York, NY 10032-3720 | 2017-10-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154965648 | B Thuy Le Md P C | Otolaryngology | 589 Broadway Fl 2, New York, NY 10012-3231 | 2019-10-29 |
| 1003372632 | Nancy King Md Pllc | Otolaryngology | 128 Mott St Ste 608, New York, NY 10013-5589 | 2019-02-19 |
| 1265919179 | Rian Rosen | Otolaryngology | 420 Madison Ave Rm 503, New York, NY 10017-1175 | 2018-07-24 |
| 1497173116 | Joseph Chang | Otolaryngology | Mount Sinai Hospital Department of Otolaryngology, 5 E. 98th Street, 8th Floor, New York, NY 10029 | 2014-03-31 |
| 1073879417 | Minyoung Jang | Otolaryngology | 3959 Broadway # Chony5n, New York, NY 10032 | 2012-04-10 |
| 1336413442 | Mount Sinai School of Medicine Faculty Practice Associates | Otolaryngology | 5 E 98th St Fl 8, New York, NY 10029-6501 | 2012-03-07 |
| 1043508690 | John R De Almeida | Otolaryngology | 523 E 14th St Apt 5g, New York, NY 10009-2931 | 2011-07-18 |
| 1396036281 | Mi Jin Yoo | Otolaryngology | 346 E 81st St, Apt 2a, New York, NY 10028-3959 | 2011-04-26 |
| 1285923110 | Herman Preston Lam | Otolaryngology | 196 Canal St Fl 4, New York, NY 10013-4562 | 2011-03-31 |
| 1295036036 | David H Slavit Md PC | Otolaryngology | 787 Park Ave, New York, NY 10021-3552 | 2010-11-10 |
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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.