WOO SUP KIM M D P C (NPI# 1104198878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104198878 |
| Entity Type | Organization |
| Organization Name | WOO SUP KIM M D P C |
| Practice Address |
9711 101st Ave Ozone Park NY 11416-2523 |
| Practice Telephone | 7188456000 |
| Mailing Telephone | 7188456000 |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-03-02 |
| Authorized Official Name | DR. WOO SUP KIM (D.R) |
| Authorized Official Telephone | 7188456000 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
160493 | NY | Ambulatory Health Care Facilities |
| Street Address |
9711 101ST AVE |
| City | OZONE PARK |
| State | NY |
| Zip Code | 11416-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730360116 | Young-mi Lee | Physical Therapist | 9711 101st Ave, Ozone Park, NY 11416-2523 | 2007-11-14 |
| 1073996534 | Green Physical Therapy P.C. | Clinic/Center | 9711 101st Ave, Ozone Park, NY 11416-2523 | 2015-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1205336591 | Ozone Park Quality Care Medicine Pllc | Clinic/Center | 7721 101st Ave Fl 1, Ozone Park, NY 11416 | 2018-02-14 |
| 1083152342 | Deshi Senior Centerllc | Clinic/Center | 8310 Rockaway Blvd, Ozone Park, NY 11416 | 2017-02-07 |
| 1225490154 | Engi Enany | Case Manager/Care Coordinator | 105 02 95th Avenue, 2nd Floor, Ozone Park, NY 11416 | 2016-03-21 |
| 1740659317 | Karen Ulloa | Registered Nurse | 105-01 101 Ave, Ozone Park, NY 11416 | 2015-09-24 |
| 1104232867 | Maria Pedreira Moretra | Licensed Practical Nurse | 105-0 101st Ave, Ozone Park, NY 11416 | 2014-07-02 |
| 1245667492 | Mohammed Miz Uddin | Licensed Practical Nurse | 9733 75th Street, Ozone Park, NY 11416 | 2013-10-02 |
| 1770910101 | Karen G Harikissoon | Social Worker | 10125 104th Street, Ozone Park, NY 11416 | 2013-09-30 |
| 1992049761 | Harry W. Lopez Dpm P.C. | Podiatrist | 87-16 101st Ave, Ozone Park, NY 11416 | 2012-11-19 |
| 1740538297 | R&m Global Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 94-04 76th St. Jamaica, Queens, NY 11416 | 2012-08-15 |
| Find all providers in zip 11416 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205336591 | Ozone Park Quality Care Medicine Pllc | Clinic/Center | 7721 101st Ave Fl 1, Ozone Park, NY 11416 | 2018-02-14 |
| 1447649249 | Pediaaids Inc | Clinic/Center | 9747 77th St, Ozone Park, NY 11416-1902 | 2015-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113346 | Community Pediatrics of Wny, Pllc | Clinic/Center | 741 Davison Rd, Lockport, NY 14094-5214 | 2020-10-27 |
| 1033718085 | Palliative Care Consulting Services | Clinic/Center | 1188 Fox St, Bronx, NY 10459-1810 | 2020-10-21 |
| 1821601352 | Xian Medical Care PC | Clinic/Center | 2010 Bay Ridge Pkwy, Brooklyn, NY 11204-5925 | 2020-08-25 |
| 1952920795 | Divine Medical LLC | Clinic/Center | 13163 233rd St # 1, Rosedale, NY 11422-1305 | 2020-04-12 |
| 1972159333 | Ap Medical Care PC | Clinic/Center | 3506 73rd St Ste 2, Jackson Heights, NY 11372-4104 | 2019-08-12 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1356993976 | Mingzhu Medical Office, P.C. | Clinic/Center | 5615 7th Ave Fl 2, Brooklyn, NY 11220-3509 | 2019-07-13 |
| 1417509357 | Henderson Health Services Family Nurse Practitioner Pllc | Clinic/Center | 4 Clarion Dr, White Plains, NY 10603-2868 | 2019-07-11 |
| 1154988897 | Bissalam Medical LLC | Clinic/Center | 3391 3rd Ave Ste 1, Bronx, NY 10456-5355 | 2019-05-28 |
| 1851859961 | Lower Westchester Medical Associates, P.C. | Clinic/Center | 105 Stevens Ave Ste 305306, Mount Vernon, NY 10550-2686 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | OZONE PARK |
| Zip Code | 11416 |
Please comment or provide details below to improve the information on WOO SUP KIM M D P C.
| 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.