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

Justin Kim

Individual provider Anesthesiology Physician · NPI 1639589625

Justin Kim is an Anesthesiology in New York, New York. Qualified in 2014, 12 years ago. Practices with Memorial Neurology Group, a 96-clinician group and accepts Medicare assignment. Licensed in New York and Washington.

Years since qualifying
12
Licensed in
NY, WA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 293170 (NY)
Anesthesiology Physician Taxonomy 207L00000X · Licence 60474848 (WA)

Record details

NPI number1639589625
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 30, 2014
Last updated in NPPESAugust 12, 2020
Certification dateAugust 12, 2020

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Memorial Neurology Group — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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