WOO SUP KIM M D P C
NPI 1104198878
Clinic/Center - Primary Care in Ozone Park, NY

Active since January 27, 2012
9711 101ST AVE, OZONE PARK, NY 11416(718) 845-6000 Get Directions Write a Review

NPPES record last updated: March 2, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Woo Sup Kim M D P C NPPES

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

WOO SUP KIM M D P C (NPI 1104198878) is a healthcare organization registered as a primary care in Ozone Park, New York and active in the NPI registry since January 2012. The organization lists Woo Sup Kim, D.r, as its authorized official.

NPPES Registry Identity

NPI1104198878
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWOO SUP KIM M D P C
Location Address9711 101ST AVEOzone Park, NY 11416-2523
Mailing Address9711 101st AveOzone Park, NY 11416-2523 · (718) 845-6000
Organization SubpartNo
Authorized OfficialWoo Sup KimD.r · (718) 845-6000
Enumeration DateJanuary 27, 2012
Last NPPES UpdateMarch 2, 2012
NPI 1104198878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in NY · 160493
9711 101ST AVE, Ozone Park, NY 11416

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 Woo Sup Kim M D P C's NPI number?

The NPI number for Woo Sup Kim M D P C is 1104198878. It was assigned to this organization in the NPPES registry on January 27, 2012.

Where is Woo Sup Kim M D P C located?

Woo Sup Kim M D P C is located at 9711 101st Ave, Ozone Park, NY 11416. The listed phone number is (718) 845-6000.

What is Woo Sup Kim M D P C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Woo Sup Kim M D P C was last updated on March 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.