DR. CHULSOON KIM M.D.
NPI 1508904210
General Practice in Jackson Heights, NY

Q: What is Chulsoon Kim's NPI number?

The NPI number for Chulsoon Kim is 1508904210. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Q: What is Chulsoon Kim's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Chulsoon Kim was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since February 02, 2007

3725 75TH ST, JACKSON HEIGHTS, NY 11372(718) 507-6262 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Chulsoon Kim M.d. NPPES

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

DR. CHULSOON KIM M.D. (NPI 1508904210) is an individual general practice provider in Jackson Heights, New York, licensed in North Carolina (117576-1) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1508904210

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. CHULSOON KIMCredential: M.D.

Location Address3725 75TH STJackson Heights, NY 11372-6422

Mailing Address3725 75th StJackson Heights, NY 11372-6422 · (718) 507-6262

Phone(718) 507-6262

Sole ProprietorYes

Enumeration DateFebruary 2, 2007

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1508904210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NC · 117576-1

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedSurgeryTaxonomy 208600000X · License 117576-1 (NY)

3725 75TH ST, Jackson Heights, NY 11372

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Other Identifiers 8

Other0073578NM · Ghi

Other117576-A17NY · Healthfirst

Other673881 CKNY · Blue Cross & Blue Shield

Medicaid00218268NY

OtherP3602724NY · Oxford

Other169119NY · Elderplan

Other17-00464NY · United Healthcare

OtherP00104843Railroad Medicare

Other Providers at the Same Location NPPES 2

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

JAI JEEN RHEE, M.D.

Internal Medicine (Cardiovascular Disease)

3725 75TH ST
JACKSON HEIGHTS, NY 11372

Queens County (718) 426-6464

JAI J RHEE

Internal Medicine (Cardiovascular Disease)

3725 75TH ST
JACKSON HEIGHTS, NY 11372

Queens County (718) 426-6464

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 Chulsoon Kim's NPI number?

The NPI number for Chulsoon Kim is 1508904210. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Chulsoon Kim located?

Chulsoon Kim practices at 3725 75th St, Jackson Heights, NY 11372. The listed phone number is (718) 507-6262.

What is Chulsoon Kim's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Chulsoon Kim was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.