MS. JIYOON KIM (NPI# 1912046665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912046665 |
| Entity Type | Individual |
| Full Name | MS. JIYOON KIM |
| Other Name | MS. JI YOON SONG |
| Credential | PA-C |
| Practice Address |
425 E 61st St Fl 10 Weill Cornell Breast Center New York NY 10065-8722 |
| Mailing Address |
24117a Oak Park Dr Douglaston NY 11362-2611 |
| Practice Telephone | 6467728109 |
| Mailing Telephone | 6467728109 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2016-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
010657-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265054084 | Jiyoon Kim | Student in an Organized Health Care Education/Training Program | 4408 Adeline St, Emeryville, CA 94608-3312 | 2020-05-14 |
| 1851612170 | Jiyoon Kim | Radiology | Meddac-k 121 Csh Unit 15244, Apo, AP 96205 | 2010-06-22 |
| 1619463155 | Jiyoon Kim | Acupuncturist | 315 Walt Whitman Rd Ste 311, Huntington Station, NY 11746-4112 | 2018-07-09 |
| Street Address |
425 E 61ST ST FL 10 WEILL CORNELL BREAST CENTER |
| City | NEW YORK |
| State | NY |
| Zip Code | 10065-8722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372706 | Anna Jane Dare | Student in an Organized Health Care Education/Training Program | 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 | 2020-10-02 |
| 1609480987 | Kimberly Ann Oppenheim | Physician Assistant | 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 | 2020-09-03 |
| 1043829252 | Bridget Maginity | Physician Assistant | 1283 York Ave 14th Floor, New York, NY 10065 | 2020-07-24 |
| 1154948016 | Andrew Timothy Mclean | Student in an Organized Health Care Education/Training Program | Memorial Sloan Kettering Cancer Centre, 1275 York Ave, New York, NY 10065 | 2020-06-26 |
| 1972128700 | Seeminder Brar | Anesthesiology | Weill Cornell Medicine - Department of Anesthesiology, 525 East 68th Street, New York, NY 10065 | 2020-06-08 |
| 1114548245 | Mohamed Medhat Soliman | Student in an Organized Health Care Education/Training Program | 525 East 68th Street, Room F734, New York-presbyterian Hospital/weill Cornell Medical Ce, Manhattan, NY 10065 | 2020-04-29 |
| 1700417672 | Carlos Henrique Dos Anjos | Internal Medicine | 300 E 66th St, New York, Ny, New York, NY 10065 | 2020-01-30 |
| 1134788557 | Marvin Herbert Braun | Student in an Organized Health Care Education/Training Program | Department of Neurology, Sixth Floor, Weill Cornell Med, 525 East 68 St., New York, NY 10065 | 2019-06-10 |
| 1356907356 | Andrew Garton | Student in an Organized Health Care Education/Training Program | New York Weill Cornell Medical Center, 525 E 68th St, New York, NY 10065 | 2019-05-15 |
| 1104481845 | Rana Abualsaud | Student in an Organized Health Care Education/Training Program | New York Presbyterian Hospital, 525 E 68th St, Room M130, New York City, NY 10065 | 2019-05-08 |
| Find all providers in zip 10065 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347078 | Alana Janine Miller | Physician Assistant | 1060 5th Ave # 1b, New York, NY 10128-0104 | 2020-08-21 |
| 1861041840 | Gabriella Fluss | Physician Assistant | 268 W 84th St Apt 6c, New York, NY 10024-4362 | 2019-09-11 |
| 1659929123 | Jacob Mark Czajka | Physician Assistant | 130 E 77th St Fl Hall11, New York, NY 10075-1851 | 2019-08-28 |
| 1033766860 | Deena Rothman | Physician Assistant | 1090 Amsterdam Ave Ste 10a, New York, NY 10025-1737 | 2019-08-26 |
| 1730698747 | Nolle L Graham | Physician Assistant | East 101 Street, New York, NY 10029 | 2017-09-21 |
| 1629594494 | Emma Ungureanu | Physician Assistant | 1790 Broadway/ 5 Columbus Circle, Fl 8, New York, NY 10019-1412 | 2017-08-14 |
| 1881117141 | Kaitlin Anne Tergesen | Physician Assistant | 3959 Broadway # Chn216, New York, NY 10032-1559 | 2017-07-19 |
| 1356879217 | Andreina Armas | Physician Assistant | E 101st Street, Mount Sinai, New York, NY 10029 | 2017-05-23 |
| 1093189870 | Amanda Londino | Physician Assistant | 568 Park Avenue, New York, NY 10068 | 2015-11-17 |
| 1437521549 | Heather Sorrentino | Physician Assistant | 105 Haven Ave Apt 3d, New York, NY 10032-2708 | 2015-10-28 |
| Find all providers in NEW YORK | ||||
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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.