Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Taeseong Kim

Individual provider Acute Care Nurse Practitioner · NPI 1013518851

Taeseong Kim is an Acute Care Nurse Practitioner in Mineola, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

259 1st St # ER
Mineola, NY 11501-3957
Phone: (516) 663-2201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 432762 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 346753 (NY)

Record details

NPI number1013518851
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 6, 2020
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients52
Services billed 52 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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