MICHAEL MINJUN KIM


Address: 1300 Roanoke Ave, Riverhead, NY 11901
Phone: 6315486000

MICHAEL MINJUN KIM (NPI# 1891172722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891172722
Entity Type Individual
Full Name MICHAEL MINJUN KIM
Other Name MIN JOON KIM
Credential D.O.
Practice Address 1300 Roanoke Ave
Riverhead
NY 11901
Mailing Address 1300 Roanoke Ave
Riverhead
NY 11901-2031
Practice Telephone 6315486000
Mailing Telephone 6315486000
Enumeration Date 2015-04-29
Last Update Date 2018-06-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 292970 NY Allopathic & Osteopathic Physicians

Other Providers MICHAEL KIM

NPI Name Taxonomy Address Enumeration
1346627742 Michael Kim Acupuncturist 22337 65th Ave, 1st Floor, Oakland Gardens, NY 11364-2313 2015-05-05
1174945273 Michael Jong-gyu Kim Dentist 27382 Calle Arroyo, San Juan Capistrano, CA 92675-2746 2014-01-09
1639441934 Michael Tonkyu Kim Dentist 2880 Old Dixwell Ave., Hamden, CT 06518 2012-02-01
1336476373 Michael Hwangsuk Kim Dentist 12865 Main St, #201, Garden Grove, CA 92840-8205 2009-11-12
1861658486 Michael Kim Anesthesiology 3757 Camino Cermenon, Yorba Linda, CA 92886-6213 2008-08-03
1609076512 Michael K Kim Chiropractor 8748 Garden Grove Blvd, Garden Grove, CA 92844-1251 2007-07-19
1164546313 Michael Sukkyu Kim Optometrist 1000 Seward Meridian Highway, Wasilla, AK 99654 2007-03-16
1689720468 Michael M Kim Otolaryngology 2525 Nw Lovejoy St Ste 402, Portland, OR 97210-2865 2007-01-26
1093870198 Michael S. Kim Dentist 2800 W Warner Ave, Suite G, Santa Ana, CA 92704-5466 2006-12-27
1295810554 Michael Ethan Kim Dentist 5322 Francis Lewis Blvd, 2nd Floor, Oakland Gardens, NY 11364-1633 2006-10-26

Office Location

Street Address 1300 ROANOKE AVE
City RIVERHEAD
State NY
Zip Code 11901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386649804 Central Suffolk Hospital General Acute Care Hospital 1300 Roanoke Ave, Riverhead, NY 11901-2031 2005-06-21
1427655653 Karina Milagros Alvarez Registered Nurse 1300 Roanoke Ave, Riverhead, NY 11901-2058 2020-10-01
1598380735 Michael Robert Cespites Jr. Student in an Organized Health Care Education/Training Program 1300 Roanoke Ave, Riverhead, NY 11901-2031 2020-06-13
1124643747 Ariane Osterwald Student in an Organized Health Care Education/Training Program 1300 Roanoke Ave, Riverhead, NY 11901-2031 2020-06-09
1972127306 Carolyn Alvarez Student in an Organized Health Care Education/Training Program 1300 Roanoke Ave, Riverhead, NY 11901-2031 2020-06-01
1457974172 Sana Hassan Student in an Organized Health Care Education/Training Program 1300 Roanoke Ave, Riverhead, NY 11901-2031 2020-05-28
1407479314 Chana Stern Student in an Organized Health Care Education/Training Program 1300 Roanoke Ave, Riverhead, NY 11901-2031 2020-05-26
1821611096 Adrienne Clarke Nurse Anesthetist, Certified Registered 1300 Roanoke Ave, Riverhead, NY 11901-2058 2020-05-22
1982227112 Isaac Lee Student in an Organized Health Care Education/Training Program 1300 Roanoke Ave, Riverhead, NY 11901-2031 2020-05-21
1598386120 Mahrukh Riaz Student in an Organized Health Care Education/Training Program 1300 Roanoke Ave, Riverhead, NY 11901-2058 2020-05-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578102786 Michael Arthur Frangeskos Physician Assistant 1330 Roanoke Avenue, Riverhead, NY 11901 2020-01-06
1922569136 Mjd Optical Corp Optometrist 1053 Route 58 Roanoke Ave, Riverhead, NY 11901 2019-03-29
1356837702 Justin M Liu Physician Assistant 31 Main Rd Ste 3, Riverhead, NY 11901 2018-07-09
1467943522 North Shore Hematology Oncology Associates PC Clinic/Center 750 Old Country Rd Bldg 2, Riverhead, NY 11901 2018-05-24
1063918688 Riverhead Volunteer Ambulance Corps Inc Ambulance 111 Osborn Ave, Riverhead, NY 11901 2018-04-03
1669977906 Joseph Cataldo Student in an Organized Health Care Education/Training Program 64 Ida Lane, Riverhead, NY 11901 2018-03-28
1861903056 The Flanders Northampton Volunteer Ambulance Company Inc Ambulance 641 Flanders Road, Flanders, NY 11901 2017-10-16
1336676659 Patricia Ann Leask Registered Nurse 300 Center Drive Suite 250, Methadone Clinic Department of Mental Health, Riverhead, NY 11901 2017-05-17
1922463447 Diana Williams-burke Counselor 550 East Main St Suite 103, Riverhead, NY 11901 2015-12-29
1699155549 Twin Forks Optometry, Pllc Optometrist 25 Cranberry Street, Riverhead, NY 11901 2015-06-05
Find all providers in zip 11901

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194111708 Tanzia Afrin Chowdhury Family Medicine 715 Roanoke Ave Ste 3, Riverhead, NY 11901 2015-04-09
1801150297 Pooja Paunikar Family Medicine 34 Commerce Ave Ste 1, Riverhead, NY 11901-3118 2012-06-29
1205947074 Mette Larsen Family Medicine 2248 Roanoke Ave, Riverhead, NY 11901-1822 2006-08-31
1588675466 Island Urgent Medical Care, P.C. Family Medicine 1228 East Main St, Suite C, Riverhead, NY 11901 2006-08-10
1477511749 Bellamy Brook Family Medicine 300 Old Country Rd Ste 2, Riverhead, NY 11901-2146 2006-05-03
1619946548 Evan C Nadal Family Medicine 34 Commerce Dr, Suite 1, Riverhead, NY 11901-3118 2006-03-14
1366899221 Jennifer Higa Family Medicine 1300 Roanoke Ave, Riverhead, NY 11901-2031 2016-05-20
1801240064 Judith Marianna Magloczki Family Medicine 31 Main Rd, Riverhead, NY 11901-1953 2016-04-14
1265852628 Conor Parks Family Medicine 1300 Roanoke Ave, Riverhead, NY 11901-2031 2014-04-23
1962840207 Jeffrey Tiu Family Medicine 31 Main Rd, Suite 1, Riverhead, NY 11901-1953 2013-06-09
Find all providers in RIVERHEAD

Competitor

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City RIVERHEAD
Zip Code 11901

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Dataset Information

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.

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