SANDY KIM MD
NPI 1154901114
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 13, 2021
630 W 168TH ST, NEW YORK, NY 10032(212) 305-2862 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sandy Kim Md NPPES

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

SANDY KIM MD (NPI 1154901114) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1154901114
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSANDY KIMCredential: MD
Location Address630 W 168TH STNew York, NY 10032-3725
Mailing Address3333 Kendall LnIrving, TX 75062-6593 · (404) 803-3745
Sole ProprietorNo
Enumeration DateApril 13, 2021
NPPES CertifiedMarch 25, 2021
NPI 1154901114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
630 W 168TH ST, 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.

Student in an Organized Health Care Education/Training Program
630 W 168TH ST
NEW YORK, NY 10032
Internal Medicine
630 W 168TH ST, BB 2-239
NEW YORK, NY 10032
Radiology (Diagnostic Radiology)
630 W 168TH ST
NEW YORK, NY 10032
Physician Assistant
630 W 168TH ST
NEW YORK, NY 10032
Hospitalist
630 W 168TH ST, COLUMBIA UNIVERSITY MEDICAL CENTER
NEW YORK, NY 10032
Dentist (Prosthodontics)
630 W 168TH ST, PH7 - 318 D
NEW YORK, NY 10032
Registered Nurse
630 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
630 W 168TH ST
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 Sandy Kim's NPI number?

The NPI number for Sandy Kim is 1154901114. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Sandy Kim located?

Sandy Kim practices at 630 W 168th St, New York, NY 10032. The listed phone number is (212) 305-2862.

What is Sandy Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Sandy Kim was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.