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DR. EDWARD WOOCHANG KIM MD, MPH
NPI 1174266126
Student in an Organized Health Care Education/Training Program in Mineola, NY

Active since April 18, 2022

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Edward Woochang Kim Md, Mph NPPES

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

DR. EDWARD WOOCHANG KIM MD, MPH (NPI 1174266126) is an individual student in an organized health care education/training program in Mineola, New York and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1174266126
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. EDWARD WOOCHANG KIMCredential: MD, MPH
Location Address259 1ST STMineola, NY 11501-3957
Mailing Address99 Wall St # 4009New York, NY 10005-4301 · (917) 728-0666
Phone(516) 663-0333
Sole ProprietorYes
Enumeration DateApril 18, 2022
Last NPPES UpdateApril 18, 2025
NPPES CertifiedApril 18, 2025
✔ NPI 1174266126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License L.6100R (AL)
259 1ST ST, Mineola, NY 11501
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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.

LINDSY MILLER M.D.
Anesthesiology
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 741-0570
GINA CARUCCI
Physician Assistant (Medical)
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-0333
DR. CHRISTIAN GIGANTE MD
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-8794
CHRISTOPHER PETILLO
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-0333
JOHN ANTHONY DINELLI MD
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-0333
MANISHA SAKORE MD
Pediatrics (Neonatal-Perinatal Medicine)
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-3853
DR. LAWRENCE SCHEINBERG M.D.
Anesthesiology
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-0333
DR. KIM ANN RUTHERFORD M.D.
Pediatrics (Pediatric Emergency Medicine)
259 1ST ST
MINEOLA, NY 11501
Nassau County (717) 531-8955

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 Edward Kim's NPI number?

The NPI number for Edward Kim is 1174266126. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Edward Kim located?

Edward Kim practices at 259 1st St, Mineola, NY 11501. The listed phone number is (516) 663-0333.

What is Edward 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 Edward Kim was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.