NPI
Jennie Kim
NPI 1518347988
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2015-06-01
- Last updated
- 2026-08-11
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Specialties
Licenses
- License NY
- 339907
- License CA
- A173096
Location
- Practice location
- 4802 10th Ave, Maimonides Medical Center
- City
- Brooklyn NY
- Postal code
- 11219-2916
- Phone
- (718) 283-8000
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Surgery, Surgical Critical Care providers in Brooklyn, NY. 21 with this primary taxonomy in the public file.
Other NPIs in Brooklyn, NY. 80,424 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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