CHERUB KIM
NPI 1871028084
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 25, 2017PECOS Enrolled
550 1ST AVE, NEW YORK, NY 10016(212) 263-5290 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cherub Kim NPPES

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

CHERUB KIM (NPI 1871028084) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871028084
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHERUB KIM
Location Address550 1ST AVENew York, NY 10016-6402
Mailing Address334 E 26th St, Apt 21g2New York, NY 10010-1915
Sole ProprietorYes
Enumeration DateApril 25, 2017
NPI 1871028084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
550 1ST AVE, New York, NY 10016

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cherub Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Internal Medicine
550 1ST AVE
NEW YORK, NY 10016
Emergency Medicine (Pediatric Emergency Medicine)
550 1ST AVE
NEW YORK, NY 10016
Allergy & Immunology
550 1ST AVE, NBV 16N30, INTERNAL MEDICINE RESIDENCY PROGRAM
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
Radiology (Vascular & Interventional Radiology)
550 1ST AVE
NEW YORK, NY 10016
Surgery
550 1ST AVE
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016

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 Cherub Kim's NPI number?

The NPI number for Cherub Kim is 1871028084. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Where is Cherub Kim located?

Cherub Kim practices at 550 1st Ave, New York, NY 10016. The listed phone number is (212) 263-5290.

What is Cherub Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cherub Kim enrolled in Medicare?

Yes. Cherub Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cherub Kim was last updated on April 25, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.