Myungduk Roger Kim, MD | |
1 Brookdale Plz, Room 244, Brooklyn, NY 11212-3139 | |
(718) 240-5668 | |
(718) 240-6513 |
Full Name | Myungduk Roger Kim |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 1 Brookdale Plz, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942241518 | NPI | - | NPPES |
01404448 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 178690 (New York) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 178690 (New York) | Primary |
Entity Name | Brookdale Hospital Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720028772 PECOS PAC ID: 4284545799 Enrollment ID: O20031120000600 |
Entity Name | Interfaith Professional Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457643991 PECOS PAC ID: 9931378171 Enrollment ID: O20110804000598 |
Mailing Address | Practice Location Address |
---|---|
Myungduk Roger Kim, MD 1 Brookdale Plaza, Strausberg Suite 244, Brookdale University Hospital And Medical Center, Brooklyn, NY 11212 Ph: (718) 240-5628 | Myungduk Roger Kim, MD 1 Brookdale Plz, Room 244, Brooklyn, NY 11212-3139 Ph: (718) 240-5668 |
Dr. Sadhana Bose, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1545 Atlantic Ave, Interfaith Medical Center, Brooklyn, NY 11213 Phone: 718-613-4000 | |
Dr. Joanne Moreau, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 32 Court St Ste 1200, Brooklyn, NY 11201 Phone: 929-239-4495 | |
Dr. Danielle Abadi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 506 6th St, Brooklyn, NY 11215 Phone: 718-780-5260 Fax: 718-780-3266 | |
Hugh Gilgoff, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Cadman Plaza West, Brooklyn, NY 11201 Phone: 929-210-6000 Fax: 929-210-6001 | |
Dr. Ninad Desai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 451 Clarkson Ave, Kings County Hospital Center; B 6202, Brooklyn, NY 11203 Phone: 718-245-4105 Fax: 718-245-4107 | |
Dr. Diana E. Weaver, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 450 Clarkson Ave, Suite B4-333, Brooklyn, NY 11203 Phone: 718-270-4714 Fax: 718-270-1985 | |
Jane Fong, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 263 7th Ave, Brooklyn, NY 11215 Phone: 718-246-8510 |