JAE HOON KIM (NPI# 1265805683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265805683 |
| Entity Type | Individual |
| Full Name | JAE HOON KIM |
| Credential | D.C. |
| Practice Address |
10005 Roosevelt Ave Suite 202 Corona NY 11368-4880 |
| Mailing Address |
14075 Ash Ave #3f Flushing NY 11355-2700 |
| Practice Telephone | 9144392157 |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X012685 | NY | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760726525 | Jae Hoon Kim | Nurse Practitioner | 7201 Wisconsin Ave Ste 450, Bethesda, MD 20814-4835 | 2012-11-19 |
| Street Address |
10005 ROOSEVELT AVE SUITE 202 |
| City | CORONA |
| State | NY |
| Zip Code | 11368-4880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154383453 | Suzanne B Plotnik-scheir | Chiropractor | 10005 Roosevelt Ave, Corona, NY 11368-4880 | 2006-04-04 |
| 1902310139 | Limor Allaeb | Pharmacist | 10005 Roosevelt Ave, Corona, NY 11368-4880 | 2017-11-27 |
| 1538691720 | Ophthalmology Specialists of New York LLC | Clinic/Center | 10005 Roosevelt Ave, Corona, NY 11368-4880 | 2017-03-28 |
| 1336516210 | Wellness Medical of Corona PC | Family Medicine | 10005 Roosevelt Ave, Suite 203, Corona, NY 11368-4880 | 2015-08-27 |
| 1003283888 | First Aid Medical, P.C. | Family Medicine | 10005 Roosevelt Ave, Suite 203, Corona, NY 11368-4880 | 2015-08-27 |
| 1457732901 | Corona Chiropractic Health Services P.C. | Chiropractor | 10005 Roosevelt Ave, Suite 202, Corona, NY 11368-4880 | 2015-06-10 |
| 1669894614 | Aleksandr Khaitov | Pharmacist | 10005 Roosevelt Ave, Corona, NY 11368 | 2014-01-10 |
| 1477893386 | Vip Pharmacy Corp. | Pharmacy | 10005 Roosevelt Ave, Corona, NY 11368-4880 | 2013-03-01 |
| 1205088176 | Weining Hsia | Pharmacist | 10005 Roosevelt Ave, Corona, NY 11368-4880 | 2008-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760014039 | Marukh Naeem | Behavioral Analyst | 11119a Roosevelt Ave, Apt 2r, Apt 2r, Corona, NY 11368 | 2020-02-05 |
| 1164072989 | Tonyia Michelle Madison | Counselor | 34-10 108 Street, Corona, Queens, NY 11368 | 2019-09-13 |
| 1962987347 | Sinead Anel Ulloa | Speech-Language Pathologist | 10420 37th Rd, Corona, NY 11368 | 2018-10-01 |
| 1245725779 | Bracha Namdar | Optometrist | 103-06 Roosevelt Ave, Corona, NY 11368 | 2018-06-27 |
| 1548758220 | Karina Elizabeth Carrasco | Specialist | 96- 32 46th Ave, Corona, NY 11368 | 2018-04-27 |
| 1134634033 | Nicole Iuculano | Speech-Language Pathologist | 43-18 97th Place, Corona, NY 11368 | 2017-12-13 |
| 1558880831 | Abenaa Nyame Danquah | Registered Nurse | 55-25 98th Place, Apt 1k, Corona, NY 11368 | 2017-09-18 |
| 1063940443 | Brand Rx Pharmacy Corp | Pharmacy | 97-05 A 57th Avenue, Corona, NY 11368 | 2017-05-30 |
| 1427595909 | Richelle Krish Sumaoy Colmenares | Physical Therapist | 3744 104th St., Corona, New York City, NY 11368 | 2017-01-23 |
| 1235674342 | 39th Avenue Physical Therapy PC | Clinic/Center | 103-18c 39 Ave, Corona, NY 11368 | 2016-12-28 |
| Find all providers in zip 11368 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669935847 | Jorge Mena | Chiropractor | 9632 Corona Ave, Corona, NY 11368-2733 | 2019-04-13 |
| 1023533437 | Synergy Physical Therapy & Chiropractic Pllc | Chiropractor | 4304 Junction Blvd Ste B, Corona, NY 11368-2116 | 2017-08-07 |
| 1043758014 | Inner Qi Wellness Inc | Chiropractor | 1175 W Grand Blvd Ste 100, Corona, CA 92882-4393 | 2017-02-09 |
| 1962879882 | Dr. Amanda Peterson Chiropractic, PC | Chiropractor | 1820 Fullerton Ave Ste 250, Corona, CA 92881-7001 | 2015-08-26 |
| 1609251495 | Michael Andrew Torrez | Chiropractor | 2205 Vesper Cir Ste 101, Corona, CA 92879-3501 | 2015-07-22 |
| 1629488895 | Channy Gardeazabal | Chiropractor | 827 River Rd Unit 228, Corona, CA 92880-1472 | 2014-04-28 |
| 1952731556 | Randi Lynn Ruela | Chiropractor | 1820 Fullerton Ave Ste 270, Corona, CA 92881-3175 | 2013-11-18 |
| 1477899763 | Corona Health Clinic, LLC | Chiropractor | 1450 W 6th St Ste 201, Corona, CA 92882-6516 | 2012-12-14 |
| 1659625036 | Chad David Noel Jr. | Chiropractor | 2250 S Main St Ste 203, Corona, CA 92882-2506 | 2012-11-06 |
| 1972874204 | Mst Consulting, LLC. | Chiropractor | 490 Princeland Ct, Unit 6, Corona, CA 92879-1351 | 2012-01-18 |
| Find all providers in CORONA | ||||
Please comment or provide details below to improve the information on JAE HOON KIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.