Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Dmitriy Kim, DO

Individual provider Surgery Physician · NPI 1295116432

Dr. Dmitriy Kim, DO is a General Surgery in Far Rockaway, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2015, 11 years ago. Practices with St John's Medical Services PC, a 86-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

327 Beach 19th St
Far Rockaway, NY 11691-4423
Phone: (718) 869-7000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 291182 (NY)

Record details

NPI number1295116432
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 13, 2015
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021
Mailing address407 Beach 20th St, Far Rockaway, NY 11691-3647

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2015 (11 years in practice)
Group practice St John'S Medical Services Pc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Far Rockaway