SOO JEONG KIM MD
NPI 1306264320
Urology - Pediatric Urology in New York, NY
About Soo Jeong Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOO JEONG KIM MD (NPI 1306264320) is an individual pediatric urology provider in New York, New York, licensed in New York (315881) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Soo Jeong Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306264320, enumerated as an "individual" on April 07, 2014.
The provider is located at 3959 BROADWAY NEW YORK, NY 10032 and the phone number is (212) 305-9918.
Urology with taxonomy code 2088P0231X and a focus in Pediatric Urology.
