{"npi":"1104095744","type":"NPI-1","status":"active","name":{"display":"Dr. Kwangsu Kim DPM","other":[],"first":"KWANGSU","last":"KIM","credential":"DPM"},"specialty":{"primary_taxonomy":"213E00000X","primary_taxonomy_description":"Podiatry","slug":"podiatry","schema_org_specialty":"Podiatric","all":[{"code":"213E00000X","description":"Podiatry","primary":true,"state":"NY","license":"N006264-01"}]},"addresses":[{"purpose":"LOCATION","street_1":"21909 NORTHERN BLVD","city":"BAYSIDE","state":"NY","postal_code":"113613525","country_code":"US","phone":"7182299200","fax":"8666687533"},{"purpose":"MAILING","street_1":"21909 NORTHERN BLVD","city":"BAYSIDE","state":"NY","postal_code":"113613525","country_code":"US","phone":"7182299200","fax":"8666687533"}],"license":{"state":"NY","number":"N006264-01"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080821000343","type_code":"14-48","type_desc":"PRACTITIONER - PODIATRY","state":"NY","pac_id":"0446325757"},{"enrlmt_id":"I20091214000027","type_code":"14-48","type_desc":"PRACTITIONER - PODIATRY","state":"NJ","pac_id":"0446325757"}]},"enumeration_date":"2008-02-28","last_updated":"2025-10-29","_meta":{"source":"NPPES","snapshot_date":"2025-10-29","doc_url":"https://findmynpi.com/api"}}