{"npi":"1992757421","type":"NPI-1","status":"active","name":{"display":"Taewan Kim MD","other":[],"first":"TAEWAN","last":"KIM","credential":"MD"},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"208600000X","description":"Surgery","primary":true,"state":"NY","license":"220630"}]},"addresses":[{"purpose":"LOCATION","street_1":"140 W 6TH ST STE LL30","city":"OSWEGO","state":"NY","postal_code":"131262564","country_code":"US","phone":"3153495511","fax":"3153495921"},{"purpose":"MAILING","street_1":"110 W 6TH ST","city":"OSWEGO","state":"NY","postal_code":"131262507","country_code":"US","phone":"3153495511","fax":"3153495921"}],"license":{"state":"NY","number":"220630"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"02155824","state":"NY","issuer":null},{"type_code":"01","label":"Other","value":"P02005039","state":"NY","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20060109000419","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"NY","pac_id":"0042233702"}]},"enumeration_date":"2006-05-16","last_updated":"2023-03-29","_meta":{"source":"NPPES","snapshot_date":"2023-03-29","doc_url":"https://findmynpi.com/api"}}