| Dr Paul Kim, MD | |
|
1980 Crompond Rd, Cortlandt Manor, NY 10567-4144 | |
| (914) 734-3935 | |
| (914) 734-3838 |
| Full Name | Dr Paul Kim |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 1980 Crompond Rd, Cortlandt Manor, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194716027 | NPI | - | NPPES |
| 10495675 | Other | CAQH # | |
| 86Y803K221 | Other | NY | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 197623 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Name Medical Center | Teaneck, NJ | Hospital |
| Hackensack University Medical Center | Hackensack, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peace Health Partners, Pc | 6709776222 | 28 |
| Entity Name | Peace Health Partners, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265463954 PECOS PAC ID: 6709776222 Enrollment ID: O20040318000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul Kim, MD 1980 Crompond Rd, Cortlandt Manor, NY 10567-4144 Ph: (914) 737-3935 | Dr Paul Kim, MD 1980 Crompond Rd, Cortlandt Manor, NY 10567-4144 Ph: (914) 734-3935 |
Elizabeth Elson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1980 Crompond Rd Dept Of, Cortlandt Manor, NY 10567 Phone: 914-734-3382 | |
Daniel J Solomon, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1980 Crompond Rd, Radiology Department, Cortlandt Manor, NY 10567 Phone: 914-734-3945 Fax: 914-734-3678 |