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LYDIA KIM PA
NPI 1669357919
Physician Assistant in New York, NY

Active since August 06, 2025
1468 MADISON AVE, NEW YORK, NY 10029(212) 241-6500 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lydia Kim Pa NPPES

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

LYDIA KIM PA (NPI 1669357919) is an individual physician assistant in New York, New York and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1669357919
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLYDIA KIMCredential: PA
Location Address1468 MADISON AVENew York, NY 10029-6508
Mailing Address3564 Sunnymead CtSan Jose, CA 95117-2959 · (408) 828-2400
Phone(212) 241-6500
Sole ProprietorYes
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1669357919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1468 MADISON AVE, New York, NY 10029
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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.

JA'NET RUSSELL
Nurse Practitioner
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
FRANCESCA YI MD
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-8578
DR. ELENI VASILEIOU MD
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (443) 248-8436
SRILAKSHMI GARIKAPATI
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
MARY OSMAN THERAPY LLC
Counselor (Mental Health)
1468 MADISON AVE
NEW YORK, NY 10029
New York County (973) 298-0929
GIORGIA IANNETTI PA-C
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
MISS SAMANTHA LUCILLE BURAGAS PA-C
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
CAM THAI
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500

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 Lydia Kim's NPI number?

The NPI number for Lydia Kim is 1669357919. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Lydia Kim located?

Lydia Kim practices at 1468 Madison Ave, New York, NY 10029. The listed phone number is (212) 241-6500.

What is Lydia Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Lydia Kim was last updated on August 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.