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MISS CONSTANCE H KIM PA-C
NPI 1811513005
Physician Assistant in Woodside, NY

Active since June 23, 2020PECOS EnrolledAccepts Medicare Assignment
3096 51ST ST, WOODSIDE, NY 11377(718) 204-1469(718) 545-1726 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2020, Jun 23, 2020 (2 updates tracked since 2020).

About Miss Constance H Kim Pa-c NPPES

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

MISS CONSTANCE H KIM PA-C (NPI 1811513005) is an individual physician assistant in Woodside, New York, licensed in New York (025069) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1811513005
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS CONSTANCE H KIMCredential: PA-C
Location Address3096 51ST STWoodside, NY 11377-1457
Mailing Address232 Merrick RdLynbrook, NY 11563-2623 · (516) 594-5961 · Fax (516) 256-5556
Phone(718) 204-1469
Fax(718) 545-1726
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 23, 2020
Last NPPES UpdateAugust 12, 20202 updates tracked since enumeration
NPPES CertifiedAugust 12, 2020
✔ NPI 1811513005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 025069
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.
3096 51ST ST, Woodside, NY 11377
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Other Names 1

Professional Name (2)Miss Constance H Kim Pa-c

Secondary Practice Location 1

Location 11825 Eastchester RdBronx, NY 10461-2301 · Phone (718) 904-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Constance H Kim Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557772902
PECOS Enrollment IDI20201116002915
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 11377 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
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 5

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

ALTAGRACE BELMAR MD
Pediatrics
3096 51ST ST
WOODSIDE, NY 11377
Queens County (718) 204-1469
JEAN LANGHANS, NP, PC
Nurse Practitioner (Women's Health)
3096 51ST ST
WOODSIDE, NY 11377
Queens County (845) 633-0374
GLORIA DUNNDER LEACOCK MD
Family Medicine
3096 51ST ST
WOODSIDE, NY 11377
Queens County (718) 204-1469
DUNN-LEA MEDICAL PC
Family Medicine
3096 51ST ST
WOODSIDE, NY 11377
Queens County (718) 204-1469
DR. MARCELO TABORGA M.D.
Internal Medicine
3096 51ST ST
WOODSIDE, NY 11377
Queens County (718) 204-1469

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 Constance Kim's NPI number?

The NPI number for Constance Kim is 1811513005. It was assigned to this individual provider in the NPPES registry on June 23, 2020. The provider is also known as Miss Constance H Kim Pa-C.

Where is Constance Kim located?

Constance Kim practices at 3096 51st St, Woodside, NY 11377. The listed phone number is (718) 204-1469.

What is Constance Kim's specialty?

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

Is Constance Kim enrolled in Medicare?

Yes. Constance Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Constance Kim was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.