DR. MIKYEONG KIM (NPI# 1780946442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780946442 |
| Entity Type | Individual |
| Full Name | DR. MIKYEONG KIM |
| Practice Address |
5143 Bell Blvd Bayside Hills NY 11364-1225 |
| Practice Telephone | 7186406550 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1844676 | NY | Other Service Providers |
| Street Address |
5143 BELL BLVD |
| City | BAYSIDE HILLS |
| State | NY |
| Zip Code | 11364-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639561350 | Innoba, LLC | Community/Behavioral Health | 5143 Bell Blvd, Bayside Hills, NY 11364-1225 | 2015-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013566363 | Emily D'auria | Counselor | Fort Totten Bldg 413a, Bayside, NY 11364 | 2019-09-10 |
| 1780154377 | Cherry Ye | Pharmacist | 5601 215th St, Bayside Hills, NY 11364 | 2018-11-27 |
| 1114420825 | Chuenbong Jonathan Ho | Dentist | 6154 Springfield Blvd, Oakland Gardens, NY 11364 | 2018-03-09 |
| 1700303419 | Jason Jin Li | Pharmacist | 58 32 218st, Bayside, NY 11364 | 2017-08-23 |
| 1265958342 | Rebecca Adar | Occupational Therapist | 78- 26 220th Place, Bayside, NY 11364 | 2017-08-21 |
| 1700320298 | Approaches In Learning for Special Kids Inc | Home Health | 73-11 210th Street, Apt 3n, Oakland Gardens, NY 11364 | 2016-12-19 |
| 1811448665 | Connie Aronson | Specialist | 208-10 Richland Avenue, Hollis Hills, NY 11364 | 2016-10-17 |
| 1154716892 | Dianne James | Physical Therapy Assistant | 224-09b 67th Avenue, Oakland Gardens, NY 11364 | 2015-03-31 |
| 1558779447 | Lai Chu Elizabeth Sin | Occupational Therapist | 22459a Kingsbury Avenue, Oakland Gardens, NY 11364 | 2014-07-24 |
| 1023459849 | William Choi | Pharmacist | 21970 64th Ave #c, Bayside, NY 11364 | 2013-07-09 |
| Find all providers in zip 11364 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215314331 | Darlene Giunta-ernst | Specialist | 4822 215th St, Bayside Hills, NY 11364-1331 | 2015-04-27 |
| 1700161239 | Shirley Aninias | Specialist | 5654 Bell Blvd, Bayside Hills, NY 11364-1925 | 2011-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639099 | Munisa Mukhamatkulova | Specialist | 1133 E 73rd St, Brooklyn, NY 11234-5409 | 2020-11-06 |
| 1881295681 | Kirsten Skidmore | Specialist | 5924 Cleary Rd, Livonia, NY 14487-9726 | 2020-11-06 |
| 1740881846 | Deborah Singer X | Specialist | 6 Equestrian Ln Apt 8, Saratoga Springs, NY 12866-1053 | 2020-11-04 |
| 1619578929 | Ann Marie Spratt | Specialist | 3248 Sentinel Heights Road, Lafayette, NY 13084 | 2020-11-03 |
| 1215538863 | New Era Diagnostics Inc | Specialist | 8815 168th St, Suite 1r, Jamaica, NY 11432-4305 | 2020-11-02 |
| 1699376251 | Ilona Gamer | Specialist | 2525 E 23rd St, Brooklyn, NY 11235-2505 | 2020-11-02 |
| 1891395463 | Mk Star Inc | Specialist | 104 Linwood Ave, Staten Island, NY 10305-4400 | 2020-10-31 |
| 1649870981 | David Abrahams | Specialist | 22016 138th Ave, Laurelton, NY 11413-2325 | 2020-10-27 |
| 1477152122 | Kevin D Spencer | Specialist | 12027 Nashville Blvd Apt 1, Saint Albans, NY 11412-3829 | 2020-10-23 |
| 1356940167 | Jacqueline Belinda Trichter | Specialist | 1400 Old Old Country Rd, Suite C103n, Westbury, NY 11590 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | BAYSIDE HILLS |
| Zip Code | 11364 |
Please comment or provide details below to improve the information on DR. MIKYEONG KIM.
| 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.