Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. P.KIM PODIATRY, P.C.
NPI 1164012746
Podiatrist - Foot & Ankle Surgery in Ridgewood, NY

Active since January 19, 2021
6083 MYRTLE AVE, RIDGEWOOD, NY 11385(718) 381-8402(888) 720-0690 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Jan 19, 2021 (2 updates tracked since 2021).

About Dr. P.kim Podiatry, P.c. NPPES

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

DR. P.KIM PODIATRY, P.C. (NPI 1164012746) is a healthcare organization registered as a foot & ankle surgery in Ridgewood, New York and active in the NPI registry since January 2021. The organization lists Paul Y Kim, President, as its authorized official.

NPPES Registry Identity

NPI1164012746
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameDR. P.KIM PODIATRY, P.C.
Location Address6083 MYRTLE AVERidgewood, NY 11385-5908
Mailing Address18820b 69th Ave Apt 3bFresh Meadows, NY 11365-3705 · (646) 762-4331 · Fax (888) 720-0690
Fax(888) 720-0690
Organization SubpartNo
Authorized OfficialPaul Y KimPresident · (267) 979-9670
Enumeration DateJanuary 19, 2021
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
NPI 1164012746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
6083 MYRTLE AVE, Ridgewood, NY 11385

Other Identifiers 1

Medicaid04389222NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Adolescent Medicine)
6083 MYRTLE AVE
RIDGEWOOD, NY 11385
Podiatrist (Foot & Ankle Surgery)
6083 MYRTLE AVE
RIDGEWOOD, NY 11385
Dentist (General Practice)
6083 MYRTLE AVE
RIDGEWOOD, NY 11385
Specialist
6083 MYRTLE AVE
RIDGEWOOD, NY 11385
Podiatrist (Foot & Ankle Surgery)
6083 MYRTLE AVE
RIDGEWOOD, NY 11385
Dentist (Oral and Maxillofacial Surgery)
6083 MYRTLE AVE
RIDGEWOOD, NY 11385

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 Dr. P.Kim Podiatry, P.C.'s NPI number?

The NPI number for Dr. P.Kim Podiatry, P.C. is 1164012746. It was assigned to this organization in the NPPES registry on January 19, 2021.

Where is Dr. P.Kim Podiatry, P.C. located?

Dr. P.Kim Podiatry, P.C. is located at 6083 Myrtle Ave, Ridgewood, NY 11385. The listed phone number is (718) 381-8402.

What is Dr. P.Kim Podiatry, P.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Dr. P.Kim Podiatry, P.C. was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 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.