Daniel Kim, D.O.
Family Medicine in New York, NY. Individual provider (NPI-1).
NPI number1255693297
StatusActive
Last updated in NPPESJun 17, 2021
Details
- NPI
- 1255693297
- Entity type
- Individual (NPI-1)
- Name
- Daniel Kim
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2012
- Certification date
- Jun 17, 2021
- Last updated
- Jun 17, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 296116 | NY | Yes |
Practice location
201 E 65th StNew York, NY 10065-6701
Phone 212-879-4700
Mailing address
201 E 65th StNew York, NY 10065-6701
Phone 212-879-4700
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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