KS PODIATRY PC
NPI 1710220561
Podiatrist - Foot & Ankle Surgery in Bayside, NY

Active since March 30, 2013
21909 NORTHERN BLVD, BAYSIDE, NY 11361(718) 229-9200(866) 668-7533 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ks Podiatry Pc NPPES

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

KS PODIATRY PC (NPI 1710220561) is a healthcare organization registered as a foot & ankle surgery in Bayside, New York and active in the NPI registry since March 2013. The organization lists Kwangsu Kim, President, as its authorized official.

NPPES Registry Identity

NPI1710220561
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameKS PODIATRY PC
Location Address21909 NORTHERN BLVDBayside, NY 11361-3525
Mailing Address995 Old Country RdPlainview, NY 11803-4906 · (718) 229-9200 · Fax (866) 668-7533
Fax(866) 668-7533
Organization SubpartNo
Authorized OfficialKwangsu KimPresident · (718) 229-9200
Enumeration DateMarch 30, 2013
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
NPI 1710220561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in NY · N006264
21909 NORTHERN BLVD, Bayside, NY 11361

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

Other Providers at the Same Location NPPES

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

Podiatrist
21909 NORTHERN BLVD
BAYSIDE, NY 11361

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 Ks Podiatry PC's NPI number?

The NPI number for Ks Podiatry PC is 1710220561. It was assigned to this organization in the NPPES registry on March 30, 2013.

Where is Ks Podiatry PC located?

Ks Podiatry PC is located at 21909 Northern Blvd, Bayside, NY 11361. The listed phone number is (718) 229-9200.

What is Ks Podiatry PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Ks Podiatry PC was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.