VIVIAN MINJU KIM NP NPI 1457198855

NPI Information

  • NPI: 1457198855
  • Provider Name: VIVIAN MINJU KIM, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 7901 BROADWAY # D3-24
    ELMHURST, NY
    ZIP 11373
  • Phone: (718) 334-2290

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NPI Details

Vivian Minju Kim, NP is a family nurse practitioner in Elmhurst, NY. Vivian Minju Kim, NP NPI is 1457198855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7901 BROADWAY # D3-24
ELMHURST, NY
ZIP 11373-329
Phone: (718) 334-2290
Fax: (718) 334-5006

The enumeration date for this NPI number is 7/11/2024 and was last updated on 7/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyF352559NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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