YU JIN KIM (NPI# 1881013159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881013159 |
| Entity Type | Individual |
| Full Name | YU JIN KIM |
| Practice Address |
4161 Kissena Blvd Concourse Level Suite 5a Flushing NY 11355-3181 |
| Practice Telephone | 7188869000 |
| Practice Fax Number | 7189610666 |
| Mailing Telephone | 7188869000 |
| Mailing Fax Number | 7189610666 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0172731 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4161 KISSENA BLVD CONCOURSE LEVEL SUITE 5A |
| City | FLUSHING |
| State | NY |
| Zip Code | 11355-3181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629047329 | Daniel Kim, M.d., Total Eye Care, P.C. | Specialist | 4161 Kissena Blvd, C#24, Flushing, NY 11355-3105 | 2006-03-15 |
| 1013427418 | East New York Chiropractic,pc | Chiropractor | 4161 Kissena Blvd, Level C. Suite 35, Flushing, NY 11355 | 2017-10-11 |
| 1073909735 | Citycare Physical Therapy PC | Clinic/Center | 4161 Kissena Blvd, Suite 35, Flushing, NY 11355-3181 | 2015-04-09 |
| 1730573338 | Herminia Goyena | Physical Therapy Assistant | 4161 Kissena Blvd, Suite 35, Flushing, NY 11355-3181 | 2015-03-23 |
| 1699189365 | Leah Olazo | Occupational Therapist | 4161 Kissena Blvd, Flushing, NY 11355-3181 | 2014-06-20 |
| 1528483658 | Gurpreet Kaur | Physician Assistant | 4161 Kissena Blvd, 5a Concourse Level, Flushing, NY 11355-3181 | 2014-02-26 |
| 1679907216 | Lemuel Obach Tagaan | Physical Therapist | 4161 Kissena Blvd, Concourse Level Suite 35, Flushing, NY 11355-3181 | 2013-08-31 |
| 1669735122 | Tian Nian Health Mangement LLC | Clinic/Center | 4161 Kissena Blvd, Concourse Level Sutie# 36, Flushing, NY 11355-3181 | 2012-06-20 |
| 1902179096 | Flushing Family Chiropractic P.C. | Chiropractor | 4161 Kissena Blvd, Suite 35, Flushing, NY 11355-3181 | 2012-02-20 |
| 1861764789 | Varun Kumar Deshpande | Physical Therapist | 4161 Kissena Blvd, Suite 6, Flushing, NY 11355-3181 | 2012-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
| 1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
| 1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
| 1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
| 1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
| 1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
| 1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
| 1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
| 1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
| 1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
| Find all providers in zip 11355 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1932559895 | Victoria Ciano | Physician Assistant | 2736 167th St, Flushing, NY 11358-1126 | 2016-06-21 |
| 1932506094 | Michelle Li | Physician Assistant | 132-59 41st Rd, Ste Cb, Flushing, NY 11355 | 2014-12-04 |
| 1184020315 | Wai Loon Bong | Physician Assistant | 13811 63rd Ave, Flushing, NY 11367-1105 | 2014-11-17 |
| 1841693694 | Katie Jiajia Li | Physician Assistant | 6123 136th St Fl 1, Flushing, NY 11367-1038 | 2014-10-07 |
| 1346515780 | Tae Y Kang | Physician Assistant | 3834 Parsons Blvd # 1a, Flushing, NY 11354-5843 | 2012-03-19 |
| 1881978955 | Joanne Rong | Physician Assistant | 13252 41st Ave, Flushing, NY 11355-5883 | 2011-10-06 |
| 1275833824 | Maryium Riaz | Physician Assistant | 5733 157 St, Flushing, NY 11355 | 2010-10-29 |
| 1225227630 | Hui Ren | Physician Assistant | 13252 41st Ave # M1, Flushing, NY 11355-5845 | 2007-10-22 |
| 1861439523 | Sidney Rodolfo Wilson | Physician Assistant | 4115 162nd St, Flushing, NY 11358-4124 | 2006-06-01 |
| Find all providers in FLUSHING | ||||
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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.