BO RA KIM PHD, MSN, RN
NPI 1063358356
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since April 28, 2026
3959 BROADWAY, NEW YORK, NY 10032(737) 990-7310 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bo Ra Kim Phd, Msn, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BO RA KIM PHD, MSN, RN (NPI 1063358356) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (390200000X) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1063358356
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBO RA KIMCredential: PHD, MSN, RN
Location Address3959 BROADWAYNew York, NY 10032-1559
Mailing Address3959 BroadwayNew York, NY 10032-1559 · (737) 990-7310
Sole ProprietorNo
Enumeration DateApril 28, 2026
NPPES CertifiedApril 28, 2026
NPI 1063358356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 390200000X
3959 BROADWAY, New York, NY 10032

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
3959 BROADWAY
NEW YORK, NY 10032
Nurse Practitioner (Neonatal)
3959 BROADWAY
NEW YORK, NY 10032
Physician Assistant
3959 BROADWAY
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Neonatal-Perinatal Medicine)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032
Nurse Practitioner (Pediatrics)
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Pediatric Gastroenterology)
3959 BROADWAY
NEW YORK, NY 10032
Occupational Therapist
3959 BROADWAY
NEW YORK, NY 10032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bo Ra Kim's NPI number?

The NPI number for Bo Ra Kim is 1063358356. It was assigned to this individual provider in the NPPES registry on April 28, 2026.

Where is Bo Ra Kim located?

Bo Ra Kim practices at 3959 Broadway, New York, NY 10032. The listed phone number is (737) 990-7310.

What is Bo Ra Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Bo Ra Kim was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.