| Paul Y Kim, DPM | |
|
6083 Myrtle Ave, Ridgewood, NY 11385-5908 | |
| (718) 381-8402 | |
| (718) 497-7322 |
| Full Name | Paul Y Kim |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 18 Years |
| Location | 6083 Myrtle Ave, Ridgewood, 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 |
|---|---|---|---|
| 1831477280 | NPI | - | NPPES |
| 03450300 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | N006427 (New York) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 006427 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wyckoff Heights Medical Center | Brooklyn, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wyckoff Professional Medical Services Pc | 6406748607 | 155 |
| Provider Name | Wyckoff Heights Medical Services Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700824372 PECOS PAC ID: 4880583897 Enrollment ID: O20040315000953 |
| Provider Name | Wyckoff Professional Medical Services Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659710796 PECOS PAC ID: 6406748607 Enrollment ID: O20040324001805 |
| Provider Name | Dr. P.kim Podiatry, P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396102828 PECOS PAC ID: 7517256332 Enrollment ID: O20160518001510 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Y Kim, DPM 18820b 69th Ave Apt 3b, Fresh Meadows, NY 11365-3705 Ph: (267) 979-9670 | Paul Y Kim, DPM 6083 Myrtle Ave, Ridgewood, NY 11385-5908 Ph: (718) 381-8402 |
Dr. Manjula Warad Shivputra, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 17-31 60th Lane, Apt #311, Ridgewood, NY 11385 Phone: 347-398-7787 | |
Dr. P.kim Podiatry, P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6083 Myrtle Ave, Ridgewood, NY 11385 Phone: 718-381-8402 Fax: 888-720-0690 | |
Dr. Paul Damian Giovinco, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7127 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-821-4097 | |
Dr. Karen Marie Aglietti, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6412 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-497-3000 Fax: 718-497-3335 | |
Dr. P.kim Podiatry, P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 6083 Myrtle Ave, Ridgewood, NY 11385 Phone: 718-381-8402 Fax: 718-497-7322 | |
Fresh Pond Podiatry Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 6094 Putnam Ave, Ridgewood, NY 11385 Phone: 718-386-5100 | |
Middle Village Podiatry, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6412 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-497-3000 Fax: 718-497-3335 |