Elizabeth Kim, M.D.
Elizabeth Kim, M.D. is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Bronx, NY, registered under NPI 1659404366. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 130 W KINGSBRIDGE RD, Bronx, NY 10468. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 25MA07697000 | NJ | Sports Medicine (Neuromusculoskeletal… primary |
| 202911 | NY | Ophthalmology Physician |
Licences are recorded in 2 states: NJ, NY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
Licensed in 2 states
This provider holds licences in 2 states: New Jersey and New York. The practice address on file is in Bronx, NY, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 25MA07697000
- Specialty
- Sports Medicine (Neuromusculoskeletal…
- Licence
- 202911
- Specialty
- Ophthalmology Physician
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Neuromusculoskeletal Medicine, Sports Medicine covers
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. NUCC Health Care Provider Taxonomy, code 204C00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | 25MA07697000 | NJ | primary |
| 207W00000X | Ophthalmology Physician | 202911 | NY |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1659404366 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 13, 2007 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
130 W KINGSBRIDGE RD Bronx, NY 10468 (917) 826-8615 |
| Mailing address |
1083 JASSAMINE WAY Fort Lee, NJ 07024 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 5 | 9 | 4 | 0 | 4 | 3 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 1 | 9 | 8 | 0 | 8 | 3 | 3 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.