- Practice location
- 177 Ft Washingtn Ave # 7GS-313, New York, NY 10032-3733
- Phone
- 212-305-3038
- Fax
- —
- Last updated
- September 3, 2024
Phillip Kim is a Surgery based in New York, NY. Phillip Kim practices in New York, NY and has the professional credentials of MD, MBA. The NPI Number for Phillip Kim is 1336535202 and holds a License No. A158522 (CA). The current practice location address for Phillip Kim is 177 Ft Washingtn Ave # 7GS-313, New York, NY 10032-3733 and can be reached out via phone at 212-305-3038.
Provider Profile Details
- NPI Number
- 1336535202
- Provider Name
- Phillip Kim
- Credential
- MD, MBA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 177 Ft Washingtn Ave # 7GS-313, New York, NY 10032-3733
- Phone Number
- 212-305-3038
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 7, 2015
- Last Update Date
- September 3, 2024
- Certification Date
- September 3, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 177 Ft Washingtn Ave # 7GS-313
New York, NY 10032-3733 - City
- New York
- State
- New York
- Zip
- 10032-3733
- Phone Number
- 212-305-3038
Provider Business Mailing Address Details
- Address
- 1290 Silas Deane Hwy
Wethersfield, CT 06109-4337 - City
- Wethersfield
- State
- CT
- Zip
- 06109-4337
- Phone Number
- 860-972-9033
License Information
- License Number
- A158522
- License State
- CA
- Taxonomy
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery providers near New York, NY
View all Surgery providers in New York →Frequently Asked Questions
What is the NPI number of Dr. Phillip Kim, MD, MBA?
The NPI number of Dr. Phillip Kim, MD, MBA is 1336535202. It was assigned on April 7, 2015 and is currently active in the NPPES registry.
What is the specialty of Dr. Phillip Kim, MD, MBA?
Dr. Phillip Kim, MD, MBA is registered under the primary taxonomy Surgery (code 208600000X), licensed in CA under license number A158522.
Where does Dr. Phillip Kim, MD, MBA practice?
The practice location is 177 Ft Washingtn Ave # 7GS-313, New York, NY 10032-3733. The office can be reached at 212-305-3038 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336535202 directly on the NPPES registry website.