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

Renita Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619331618

Renita Kim is an Obstetrics/Gynecology in Astoria, New York. Graduated from Icahn School of Medicine at Mount Sinai in 2016, 10 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
NY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

2520 30th Ave Fl 4
Astoria, NY 11102-2448
Phone: (718) 808-7777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Francis St, Boston, MA 02115-6110 — (617) 732-7801

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 304021 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619331618
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 6, 2016
Last updated in NPPESMay 18, 2022
Certification dateMay 18, 2022
Mailing address75 Francis St, Asb1-3-608a, Boston, MA 02115-6110

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2016 (10 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Astoria