Woo Sup Kim M D P C
NPI 1104198878 · Primary Care Clinic/Center · Ozone Park, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Woo Sup Kim M D P C is a Primary Care Clinic/Center organization in Ozone Park, NY (NPI 1104198878).
Provider details
- NPI number
- 1104198878
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Woo Sup Kim, D.r(718) 845-6000
- License
- 160493 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-01-27
- Last updated
- 2012-03-02
Frequently asked questions
- What is Woo Sup Kim M D P C's NPI number?
- Woo Sup Kim M D P C's National Provider Identifier (NPI) is 1104198878, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Woo Sup Kim M D P C?
- Woo Sup Kim M D P C is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Woo Sup Kim M D P C located?
- Woo Sup Kim M D P C's practice location on file with NPPES is 9711 101st Ave, Ozone Park, NY 11416-2523.
- What is Woo Sup Kim M D P C's phone number?
- The practice phone number listed in the NPPES registry for Woo Sup Kim M D P C is (718) 845-6000.
- Does Woo Sup Kim M D P C accept Medicare?
- Woo Sup Kim M D P C is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Woo Sup Kim M D P C?
- The authorized official listed on Woo Sup Kim M D P C's NPPES record is Woo Sup Kim, D.r. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Woo Sup Kim M D P C's NPI active?
- Yes — Woo Sup Kim M D P C's NPI (1104198878) is active in the NPPES registry as of the last update on 2012-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.