DR. BONG SONG KIM M.D.
NPI 1740223197
Radiology - Radiation Oncology in Flushing, NY

Active since June 14, 2006
4020 MAIN ST, 4TH FL., FLUSHING, NY 11354(347) 532-2888 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bong Song Kim M.d. NPPES

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

DR. BONG SONG KIM M.D. (NPI 1740223197) is an individual radiation oncology provider in Flushing, New York, licensed in New York (115195) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1740223197
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDR. BONG SONG KIMCredential: M.D.
Location Address4020 MAIN ST, 4TH FL.Flushing, NY 11354-5519
Mailing Address4020 Main St, 4th Fl.Flushing, NY 11354-5519 · (347) 532-2888
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateMay 3, 2016
NPI 1740223197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License Licensed in NY · 115195
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
4020 MAIN ST, Flushing, NY 11354

Other Identifiers 5

Other4592944NY · Aetna
Medicare UPINB75863NY
Other913151NY · Empire B/c B/s
Medicaid01026053NY
Medicare ID-Type Unspecified673871NY

Other Providers at the Same Location NPPES 2

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

Radiology (Radiation Oncology)
4020 MAIN ST, 4TH FLOOR
FLUSHING, NY 11354
Radiology (Radiation Oncology)
4020 MAIN ST, 4TH FLOOR
FLUSHING, NY 11354

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 Bong Song Kim's NPI number?

The NPI number for Bong Song Kim is 1740223197. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Bong Song Kim located?

Bong Song Kim practices at 4020 Main St 4th Fl., Flushing, NY 11354. The listed phone number is (347) 532-2888.

What is Bong Song Kim's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

When was this NPI record last updated?

The NPPES record for Bong Song Kim was last updated on May 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.