DASOM KIM NP
NPI 1629951371
Nurse Practitioner - Adult Health in New York, NY

Active since July 29, 2025PECOS Enrolled
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029(212) 427-1540 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dasom Kim Np NPPES

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

DASOM KIM NP (NPI 1629951371) is an individual adult health provider in New York, New York, licensed in New York (F312024) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629951371
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDASOM KIMCredential: NP
Location Address1 GUSTAVE L LEVY PLNew York, NY 10029-6504
Mailing Address1 Gustave L Levy PlNew York, NY 10029-6504
Sole ProprietorYes
Enumeration DateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
NPI 1629951371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F312024
1 GUSTAVE L LEVY PL, New York, NY 10029

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dasom Kim Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Dietitian, Registered
1 GUSTAVE L LEVY PL, BOX 1625
NEW YORK, NY 10029
Emergency Medicine
1 GUSTAVE L LEVY PL, BOX 1149
NEW YORK, NY 10029
General Acute Care Hospital
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
Internal Medicine (Cardiovascular Disease)
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
Physician Assistant
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
Nurse Practitioner (Family)
1 GUSTAVE L LEVY PL, TRANSPLANT INST. DEPARTMENT BOX 1104
NEW YORK, NY 10029
Dietitian, Registered
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029

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 Dasom Kim's NPI number?

The NPI number for Dasom Kim is 1629951371. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Where is Dasom Kim located?

Dasom Kim practices at 1 Gustave L Levy Pl, New York, NY 10029. The listed phone number is (212) 427-1540.

What is Dasom Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Dasom Kim enrolled in Medicare?

Yes. Dasom Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dasom Kim was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.