TAE KIM (NPI# 1427579531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427579531 |
| Entity Type | Individual |
| Full Name | TAE KIM |
| Other Name | KEVIN KIM |
| Practice Address |
5837 192nd St Fl 2 Fresh Meadows NY 11365-2237 |
| Practice Telephone | (646) 957-6808 |
| Mailing Telephone | 6469576808 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568938561 | Tae Kim | Social Worker | Bld S370, Camp Humphreys Behavioral Health Clinic, Apo, AP 96251-0016 | 2018-10-17 |
| 1962906487 | Tae Y Kim | Student in an Organized Health Care Education/Training Program | 4020 Olmsted Ave, Los Angeles, CA 90008-2628 | 2018-03-20 |
| 1831603067 | Tae Kyong Kim | Chiropractor | 3740 Colony Dr Ste 150, San Antonio, TX 78230-2290 | 2017-11-27 |
| 1710400296 | Tae Hee Kim | Acupuncturist | 520 S Virgil Ave Ste 503, Los Angeles, CA 90020-1452 | 2017-07-17 |
| 1164876561 | Tae Sik Kim | Acupuncturist | 3701 50th St W, Rosamond, CA 93560-6725 | 2016-04-21 |
| 1891949368 | Tae Jung Kim | Specialist | 6123 229th St Fl 2, Oakland Gardens, NY 11364-2422 | 2008-11-11 |
| 1568629889 | Tae Kyu Kim | Family Medicine | 275 W Hospitality Ln Ste 200, San Bernardino, CA 92408-3238 | 2008-05-22 |
| 1174734719 | Tae Kim | Acupuncturist | 2040 Pacific Coast Hwy Ste Q, Lomita, CA 90717-2660 | 2007-05-25 |
| 1568512085 | Tae Kun Kim | Chiropractor | 3620 W Pioneer Dr Ste 109, Irving, TX 75061-1515 | 2007-01-10 |
| 1689748642 | Tae Soo Kim | Dentist | 275 Dekalb Pike Unit 101, North Wales, PA 19454-1807 | 2006-11-20 |
| Street Address |
5837 192ND ST FL 2 |
| City | FRESH MEADOWS |
| State | NY |
| Zip Code | 11365-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427660653 | Melanie Batista | Massage Therapist | 71-55 Parsons Blvd, Fresh Meadows, NY 11365 | 2020-08-19 |
| 1497396378 | Celestina Andino | Registered Nurse | 194-15b 64th Circle, 3c, Fresh Meadows, NY 11365 | 2019-10-02 |
| 1659939304 | Bracha Kosoff | Occupational Therapist | 71-64 168th St., Flushing, NY 11365 | 2019-05-29 |
| 1295290419 | Kate Okeke | Licensed Practical Nurse | 188 04 64th Avenue, Fresh Meadow, NY 11365 | 2019-02-01 |
| 1669951497 | Jihee Woo | Registered Nurse | 189-04 6f Fresh Meadows, Queeens, NY 11365 | 2018-08-13 |
| 1710465125 | In Hye Choi | Acupuncturist | 67-02a 188st., Apt 3b, Fresh Meadows, NY 11365 | 2018-07-30 |
| 1497231112 | Shamain C Persaud | Case Manager/Care Coordinator | 67-28 188th Street, Fresh Meadows, NY 11365 | 2018-07-16 |
| 1598280489 | Gabriella Pamela Koyenova | Physician Assistant | 69-24 181st Street, Fresh Meadows, NY 11365 | 2017-08-11 |
| 1750802781 | Nicola Coley | Behavioral Analyst | 6747 161st Street, 1k, Flushing, NY 11365 | 2017-06-29 |
| 1811427941 | Jong M Lee | Acupuncturist | 6020b 194th St Apt 3b, Fresh Meadows, NY 11365 | 2017-06-12 |
| Find all providers in zip 11365 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528533817 | Jiatong Ma | Case Manager/Care Coordinator | 7032 175th St, Fresh Meadows, NY 11365-3417 | 2018-10-12 |
| 1740765320 | Tanzina Ahmed | Case Manager/Care Coordinator | 15916 Union Tpke Ste 325, Fresh Meadows, NY 11366-1963 | 2018-09-28 |
| 1497231112 | Shamain C Persaud | Case Manager/Care Coordinator | 67-28 188th Street, Fresh Meadows, NY 11365 | 2018-07-16 |
| 1669902284 | Alla Roziyeva | Case Manager/Care Coordinator | 162-16 Union Turnpike, Suite 303, Fresh Meadows, NY 11366 | 2017-06-15 |
| 1649722182 | Kathleen Rivera | Case Manager/Care Coordinator | 17411 67th Ave, Fresh Meadows, NY 11365-2006 | 2016-11-01 |
| 1205387339 | Diana Muladzhanova | Case Manager/Care Coordinator | 7640 173rd St, Fresh Meadows, NY 11366-1430 | 2016-10-24 |
| 1508217027 | Huisi Wu | Case Manager/Care Coordinator | 164-19 78th Ave, Fresh Meadows, NY 11366 | 2016-06-27 |
| 1962866707 | Woon Yee Kiki Chan | Case Manager/Care Coordinator | 16206 75th Rd, Fresh Meadows, NY 11366-1132 | 2016-04-07 |
| 1003203746 | Mariely Vidal | Case Manager/Care Coordinator | 16211 76th Ave, Fresh Meadows, NY 11366-1133 | 2015-04-21 |
| 1861754558 | Oneida Aurora Jerez | Case Manager/Care Coordinator | 6141 170th St, Fresh Meadows, NY 11365-1947 | 2012-06-09 |
| Find all providers in FRESH MEADOWS | ||||
| City | FRESH MEADOWS |
| Zip Code | 11365 |
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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.