MS. SUN JA KIM (NPI# 1760563753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760563753 |
| Entity Type | Individual |
| Full Name | MS. SUN JA KIM |
| Other Name | MS. SUN JA KIM |
| Credential | NP |
| Practice Address |
7901 Broadway Managed Care, D1-01 Elmhurst NY 11373-1329 |
| Practice Telephone | 7183342490 |
| Practice Fax Number | 7183343432 |
| Mailing Telephone | 7183342490 |
| Mailing Fax Number | 7183343432 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2016-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
F301430 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00246075 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891234928 | Sun Kim | Pharmacist | 9112 Santiago Dr, Huntington Beach, CA 92646-6341 | 2017-02-22 |
| 1316394562 | Sun Kim | Dentist | 8524 Harvest Oak Dr, Vienna, VA 22182-5601 | 2016-05-18 |
| 1114398450 | Sun Kim | Student in an Organized Health Care Education/Training Program | 210 City Blvd W Apt 103, Orange, CA 92868-2928 | 2015-10-13 |
| 1508262817 | Sun Hye Kim | Nurse Practitioner | 1871 Martin Ave # 102, Santa Clara, CA 95050-2501 | 2014-11-13 |
| 1598923765 | Sun M Kim | Acupuncturist | 22636 Ocean Ave Apt 6, Torrance, CA 90505-3639 | 2008-05-23 |
| 1326189937 | Sun Y Kim | Dentist | 2262 Pacific Coast Hwy, Lomita, CA 90717-2532 | 2007-02-08 |
| 1801949912 | Sun Hui Kim | Pharmacist | 4881 La Palma Ave, La Palma, CA 90623-2019 | 2007-01-19 |
| 1093738932 | Sun Ik Kim | Urology | 489 E 21st St, San Bernardino, CA 92404-4816 | 2006-07-25 |
| 1124091764 | Sun Yong Kim | Nuclear Medicine | Department of The Army Wamc Stop A 2817 Reilly Road, Attn: Sun Yong Kim Mcxc-rad, Fort Bragg, NC 28310-7301 | 2006-02-13 |
| 1528605052 | Sun Hi Kim | Pharmacist | 4040 N Oracle Rd, Tucson, AZ 85705-2720 | 2019-12-03 |
| Street Address |
7901 BROADWAY MANAGED CARE, D1-01 |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903006 | Sambasiva Kamineni | Surgery | 7901 Broadway, Elmhurst, NY 11373-1329 | 2005-06-22 |
| 1336748433 | Lina Maria Rodriguez | Social Worker | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-10-20 |
| 1366049694 | Reinelda Glizel Diaz | Physical Therapist | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-10-09 |
| 1831796705 | Keysha Latanya Bonheur | Registered Nurse | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-10-05 |
| 1053927657 | Puja Rai | Occupational Therapist | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-09-18 |
| 1619582764 | Tenzin Wangmo | Nurse Practitioner | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-09-14 |
| 1629683578 | Carmen Maria Chavez Fuenmayor | Student in an Organized Health Care Education/Training Program | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-09-08 |
| 1093329179 | Dharma Dilia Herrera Vasquez | Student in an Organized Health Care Education/Training Program | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-09-04 |
| 1366054975 | Mackenzie Jameson | Social Worker | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-08-17 |
| 1639788201 | Nina Mariana Magdalena Andrias-ng | Registered Nurse | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437631223 | Juliet Davis | Nurse Practitioner | 7901 Broadway, Elmhurst, NY 11373-1329 | 2018-08-29 |
| 1255702684 | Sandra Elizabeth Bandel | Nurse Practitioner | 133 E Brush Hill Rd, Elmhurst, IL 60126-5659 | 2015-10-12 |
| 1184090912 | Elizabeth Green | Nurse Practitioner | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2015-08-17 |
| 1710311196 | Nurjahan Akter | Nurse Practitioner | 7901 Broadway, Elmhurst, NY 11373-1329 | 2013-08-21 |
| 1962663385 | Olga Badalova | Nurse Practitioner | 7901 Broadway, Elmhurst, NY 11373-1329 | 2008-06-18 |
| 1003937277 | Carlota Gabriel Antonio | Nurse Practitioner | 80th St & 41st Ave, Elmhurst, NY 11373 | 2007-04-03 |
| 1225105083 | Ednah Ndidi Madu | Nurse Practitioner | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2006-11-29 |
| 1609947258 | Alex Amoako Dompreh | Nurse Practitioner | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2006-11-13 |
| 1548331259 | Barbara Jean Calvano | Nurse Practitioner | 80th St & 41st Ave, Elmhurst, NY 11373 | 2006-11-13 |
| 1366513079 | Mary Elizabeth Twomey | Nurse Practitioner | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2006-11-13 |
| Find all providers in ELMHURST | ||||
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| 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.