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

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1558398214

Wichae Im, MD is a Physical Medicine and Rehabilitation in Elmhurst, New York. Graduated from Meharry Medical College School of Medicine in 1990, 36 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 324-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Trained at
Meharry Medical College School of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7901 Broadway Rm A1-9
Elmhurst, NY 11373-1329
Phone: (718) 334-4952
Fax: (718) 334-4815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 198358 (NY)

Record details

NPI number1558398214
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESDecember 10, 2007
Mailing address7901 Broadway, Room A1-9, Elmhurst, NY 11373-1329

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 324 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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