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 - Family 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, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Kim was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 24, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 24, 2026, Sep 14, 2026 (2 updates tracked since 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 family provider 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 Taxonomy363LF0000X

Provider Legal NameSTACEY YOON YOUNG KIM

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

Mailing Address530 1st Ave Ste 9qNew York, NY 10016-6402 · (212) 263-7225

Phone(212) 263-7225

Sole ProprietorNo

Enumeration DateSeptember 14, 2026

Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2026

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

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F360639-01

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

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Other Providers at the Same Location NPPES 4

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

DR. PATRICIO MILLAR VERNETTI MD

Psychiatry & Neurology (Neurology)

530 1ST AVE STE 9Q
NEW YORK, NY 10016

New York County (212) 263-7225

ANDREANA BARNETT

Nurse Practitioner (Family)

530 1ST AVE STE 9Q
NEW YORK, NY 10016

New York County (212) 263-7225

DR. FELICIA B. AXELROD M.D.

Pediatrics

530 1ST AVE STE 9Q
NEW YORK, NY 10016

New York County (212) 263-7225

KAIA LEE DALAMO DNP, FNP

Nurse Practitioner (Family)

530 1ST AVE STE 9Q
NEW YORK, NY 10016

New York County (212) 263-7225

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 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.

Where is Stacey Kim located?

Stacey Kim practices at 530 1st Ave Ste 9Q, New York, NY 10016. The listed phone number is (212) 263-7225.

What is Stacey Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Stacey Kim was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.