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

Ji Soo Kim

Individual provider Family Nurse Practitioner · NPI 1972665669

Ji Soo Kim is a Family Nurse Practitioner in Bronx, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

1400 Pelham Pkwy S Peds ED
Bronx, NY 10461-1138
Phone: (718) 918-5875
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 331768 (NY)

Record details

NPI number1972665669
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 15, 2006
Last updated in NPPESJuly 8, 2007

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