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Deactivated NPI 1386650356 Deactivated / Inactive NPI Male Practitioner

Dr. Unsup Kim , MD

Surgery • Elmhurst, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Unsup Kim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 31, 2006
NPI Deactivation Date October 14, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Unsup Kim, MD was a registered Surgery practicing in Elmhurst, NY. Throughout an active medical career spanning 13 years, Dr. Kim provided care at the practice location at 7901 BROADWAY until profile deactivation on 2019-10-14.

Practice Location & Contact Primary Location

Practice Address

7901 Broadway
Room A1-9

Elmhurst, NY 113731329

Telephone 7183344952
Fax 7183344815
Associated Practice Facility / Clinic
🏢 Newtown Dialysis Center, Inc Facility NPI 1801883707

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Elmhurst, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.4 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
17 Specialists

Practicing in Elmhurst, NY (2269 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 111353

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Edward Rubin , MD

Obstetrics & Gynecology

NPI 1003830860

Doctor of Medicine (M.D.)

Dr. George Coritsidis , MD

Internal Medicine - Nephrology

NPI 1003855610

Doctor of Medicine (M.D.)

Kelly Cheng , PA

Emergency Medicine

NPI 1003911538

Physician Assistant

Veronica Delgado , PA

Emergency Medicine

NPI 1003918962

Physician Assistant

Dr. Martin Fine , MD

Radiology - Diagnostic Radiology

NPI 1013025345

Doctor of Medicine (M.D.)

Dr. Oleg Sirkis , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1013094051

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 14, 2019

Record deactivated on October 14, 2019

NPI Profile Active October 19, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 19, 2007

Registered at 7901 BROADWAY, ROOM A1-9, ELMHURST, NY 113731329 (Tel: 7183344952)

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Updated Business Mailing Address October 19, 2007

Registered at 7901 BROADWAY, ROOM A1-9, ELMHURST, NY 113731329 (Tel: 7183344952)

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Provider Name / Credentials Updated October 19, 2007

Recorded as UNSUP KIM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2007

Surgery (License #111353 in NY)

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Initial NPI Registration & Enumeration July 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386650356
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: October 19, 2007
Deactivation Date: October 14, 2019

Mailing Address

7901 Broadway, Room A1-9

Elmhurst, NY 113731329

Phone: 7183344952

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.