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YOOJIN KIM M.D.P.C
NPI 1609425040
Pediatrics in Flushing, NY

Active since September 09, 2019CLIA 33D0986921 · Waiver
15814 NORTHERN BLVD STE ML7, FLUSHING, NY 11358(718) 463-8100(718) 463-8409 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2019, Sep 9, 2019 (2 updates tracked since 2019).

About Yoojin Kim M.d.p.c NPPES

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

YOOJIN KIM M.D.P.C (NPI 1609425040) is a healthcare organization registered as a pediatrics in Flushing, New York and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists Yoojin Kim, President, as its authorized official.

NPPES Registry Identity

NPI1609425040
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameYOOJIN KIM M.D.P.C
Location Address15814 NORTHERN BLVD STE ML7Flushing, NY 11358-1600
Mailing Address15814 Northern Blvd Ste Ml7Flushing, NY 11358-1600 · (718) 463-8100 · Fax (718) 463-8409
Phone(718) 463-8100
Fax(718) 463-8409
Organization SubpartNo
Authorized OfficialYoojin KimPresident · (718) 463-8100
Enumeration DateSeptember 9, 2019
Last NPPES UpdateSeptember 20, 20192 updates tracked since enumeration
✔ NPI 1609425040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
15814 NORTHERN BLVD STE ML7, Flushing, NY 11358
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0986921

Yoojin Kim MD PC · Flushing, NY
Active · expires May 23, 2027
CLIA Number33D0986921
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorYoojin Kim
Laboratory Phone(718) 463-8100
Laboratory LocationYoojin Kim MD PC158-14 Northern Blvd Suite Ml7, Flushing, NY 11358
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Yoojin Kim M.D.P.C's NPI number?

The NPI number for Yoojin Kim M.D.P.C is 1609425040. It was assigned to this organization in the NPPES registry on September 9, 2019.

Where is Yoojin Kim M.D.P.C located?

Yoojin Kim M.D.P.C is located at 15814 Northern Blvd Ste Ml7, Flushing, NY 11358. The listed phone number is (718) 463-8100.

What is Yoojin Kim M.D.P.C's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Yoojin Kim M.D.P.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0986921) is associated with this NPI, valid through May 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Yoojin Kim M.D.P.C was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.