EVA KIM
NPI 1528721586
Nurse Practitioner - Pediatrics in Long Island City, NY
About Eva Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVA KIM (NPI 1528721586) is an individual pediatrics provider in Long Island City, New York, licensed in New York (383506) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eva Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONG ISLAND CITY, NY 11106
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 Eva Kim's NPI number?
The NPI number for Eva Kim is 1528721586. It was assigned to this individual provider in the NPPES registry on October 18, 2021.
Where is Eva Kim located?
Eva Kim practices at 1430 Broadway, Long Island City, NY 11106. The listed phone number is (929) 656-3407.
What is Eva Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Eva Kim enrolled in Medicare?
Yes. Eva Kim is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Eva Kim was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Eva Kim · NPI 1528721586
Pediatrics physician in Long Island City, New York. Individual provider, active in the CMS NPPES registry since October 18, 2021.
## Identity
- **NPI:** 1528721586 (Entity type: Individual)
- **Enumerated:** October 18, 2021
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 383506 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1430 BROADWAY, Long Island City, NY 11106-4530
- **Phone:** (929) 656-3407
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 24, 2026
- **Other identifiers:** Medicaid 1528721586 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1528721586) · Data from the CMS NPPES public registry.