Clove Lakes ENT PC
NPI 1619039815ActiveOrganization· Otolaryngology· Staten Island, NY
Otolaryngology in Staten Island, New York, registered in NPPES in December 2006. The authorized official on file is Helen Hyosun Kim, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619039815 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2006 |
| Last updated in NPPES | Feb 25, 2021 |
| Certified by provider | Feb 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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