Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

STACEY YOON YOUNG KIM
NPI 1134030737
Nurse Practitioner in New York, NY

Q: What is Stacey Kim's NPI number?

The NPI number for Stacey Kim is 1134030737. It was assigned to this individual provider in the NPPES registry on September 14, 2026.

Q: What is Stacey Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Kim was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.

Active since September 14, 2026

530 1ST AVE STE 9Q, NEW YORK, NY 10016(212) 263-7225 Get Directions Write a Review

NPPES record added: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Stacey Yoon Young Kim NPPES

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

STACEY YOON YOUNG KIM (NPI 1134030737) is an individual nurse practitioner in New York, New York, licensed in New York (F360639-01) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1134030737

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSTACEY YOON YOUNG KIM

Location Address530 1ST AVE STE 9QNew York, NY 10016-6402

Mailing Address340 E 23rd St Apt 4jNew York, NY 10010-4746 · (516) 680-8141

Phone(212) 263-7225

Sole ProprietorNo

Enumeration DateSeptember 14, 2026

NPPES CertifiedSeptember 14, 2026

✔ NPI 1134030737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · F360639-01

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

530 1ST AVE STE 9Q, New York, NY 10016

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Other Providers at the Same Location NPPES 5

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

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