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

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

Practice location Address checks out

259 1st St # ER
Mineola, NY 11501-3957
Phone: (516) 663-2201
Show map & directions

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
Mailing address259 1st St # Er, Mineola, NY 11501-3957

Other providers in Mineola