MINERVA KIM RD
NPI 1740941467
Dietitian, Registered in Greenvale, NY

Active since January 05, 2022
101 NORTHERN BLVD, GREENVALE, NY 11548(516) 563-7940 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2024, Jan 5, 2022 (2 updates tracked since 2022).

About Minerva Kim Rd NPPES

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

MINERVA KIM RD (NPI 1740941467) is an individual dietitian, registered in Greenvale, New York and active in the NPI registry since January 2022. She maintains a secondary practice location in Roslyn Heights.

NPPES Registry Identity

NPI1740941467
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMINERVA KIMCredential: RD
Location Address101 NORTHERN BLVDGreenvale, NY 11548-1340
Mailing Address101 Northern BlvdGreenvale, NY 11548-1340
Sole ProprietorNo
Enumeration DateJanuary 5, 2022
Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
NPI 1740941467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
101 NORTHERN BLVD, Greenvale, NY 11548

Secondary Practice Location 1

Location 132 Locust LnRoslyn Heights, NY 11577-2625 · Phone (516) 776-5432

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
101 NORTHERN BLVD
GREENVALE, NY 11548
Nurse Practitioner (Family)
101 NORTHERN BLVD
GREENVALE, NY 11548
Dietitian, Registered
101 NORTHERN BLVD
GREENVALE, NY 11548
Physician Assistant
101 NORTHERN BLVD
GREENVALE, NY 11548
Nurse Practitioner (Adult Health)
101 NORTHERN BLVD
GREENVALE, NY 11548
Internal Medicine
101 NORTHERN BLVD
GREENVALE, NY 11548
Clinic/Center (Community Health)
101 NORTHERN BLVD
GREENVALE, NY 11548

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 Minerva Kim's NPI number?

The NPI number for Minerva Kim is 1740941467. It was assigned to this individual provider in the NPPES registry on January 5, 2022.

Where is Minerva Kim located?

Minerva Kim practices at 101 Northern Blvd, Greenvale, NY 11548. The listed phone number is (516) 563-7940.

What is Minerva Kim's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Minerva Kim was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.