Joonghoon Kim, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006840 Issued in NY

Practice address

315 Walt Whitman Rd Ste 311
Huntington Station, NY 11746-4112

Phone

(631) 923-0334

Fax

(631) 923-0335

NPI assigned

Apr 2, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kims Acupuncture Ny PC

  • Acupuncturist
  • Little Neck, NY
  • NPI 1427830645
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1013596642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WALT WHITMAN RD STE 311",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464112",
            "telephone_number": "631-923-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WALT WHITMAN RD STE 311",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464112",
            "telephone_number": "631-923-0334",
            "fax_number": "631-923-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOONGHOON",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hina Khawaja
• Alan Khorshidi
• Avesta Miriam Khursand, N.P
• Hyejin Kim, LAC
• Jiyoon Kim, LAC.
• Denise Anne Kleberg
• Lauren Anne Klimek, MT-BC, LCAT
• Amanda Rose Knee
• Michelle Kobbe, D.C.
• Melissa Chelsi Konakli

• Acupuncturist in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.