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

Miss. Constance H Kim, PA-C

Individual provider Physician Assistant · NPI 1811513005

Miss. Constance H Kim, PA-C is a Physician Assistant in Woodside, New York. Qualified in 2019, 7 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3096 51st St
Woodside, NY 11377-1457
Phone: (718) 204-1469
Fax: (718) 545-1726
Show map & directions

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

Additional practice locations (1)

  • 1825 Eastchester Rd, Bronx, NY 10461-2301 — (718) 904-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 025069 (NY)

Record details

NPI number1811513005
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 23, 2020
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 specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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