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

John Kyuwon Kim, MD

Individual provider Anesthesiology Physician · NPI 1104289248

John Kyuwon Kim, MD is an Anesthesiology in Manhasset, New York. Qualified in 2016, 10 years ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Community Dr
Manhasset, NY 11030-3876
Phone: (516) 562-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 27005 76th Ave, New Hyde Park, NY 11040-1402 — (718) 470-5382
  • 100 Woods Rd, Valhalla, NY 10595-1530 — (914) 493-7000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 307708-01 (NY)

Record details

NPI number1104289248
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2016
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024
Mailing address300 Community Dr, Manhasset, NY 11030-3876

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice North Shore - Lij Anesthesiology, Pc — 1004 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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