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

Mr. Michael Jae Woo Kim, NP

Individual provider Family Nurse Practitioner · NPI 1578955019

Mr. Michael Jae Woo Kim, NP is a Nurse Practitioner in Bronx, New York. Qualified in 2014, 12 years ago. Practices with William F Ryan Community Health Center Inc, a 51-clinician group and accepts Medicare assignment. Licensed in California, New York and Washington.

Years since qualifying
12
Licensed in
CA, NY, WA
In the registry since
2015
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

85 W Burnside Ave
Bronx, NY 10453-4015
Phone: (718) 716-4400
Fax: (718) 228-7471
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

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F341255-1 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP95002352 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 60528082 (WA)

Record details

NPI number1578955019
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 20, 2015
Last updated in NPPESJanuary 4, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice William F Ryan Community Health Center Inc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bronx