Individual provider Active NPI

Ju Hye Kim, NP

  • Family Nurse Practitioner
  • Mineola, NY
National Provider Identifier
1093371486
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343789 Issued in NY
Practice address
222 Station PLZ N Ste 310
Mineola, NY 11501-3893
Phone
(516) 663-2051
NPI assigned
May 12, 2019
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 343789 NY Primary

Addresses

Primary practice location

222 Station PLZ N Ste 310
Mineola, NY 11501-3893

Mailing address

222 Station PLZ N Ste 310
Mineola, NY 11501-3893
Phone (516) 663-2051

Other practice location 1

180-36 80th Drive
Jamaica Estates, NY 11432
Phone (347) 277-4001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkim352401@nyumc.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190627002423 NY Practitioner - Nurse Practitioner 0749514529 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Medical Care for You PCGroup PAC ID 6800207879, 12 clinicians

Practice addresses (Care Compare)

222 Station PLZ N
Mineola, NY 11501-3893
Phone (516) 663-2051

6711 164TH St
Fresh Meadows, NY 11365-3162
Phone (718) 961-5060

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Medical PC CurrentSince Sep 21, 2019 Accepting new patients
New York University CurrentSince May 4, 2020 Accepting new patients
New York University CurrentSince May 4, 2020 Accepting new patients
Essen Medical Associates, PC CurrentSince May 18, 2019 Accepting new patients
Medical Care for You PC CurrentSince Feb 1, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince May 18, 2019 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince May 18, 2019 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince May 18, 2019 Accepting new patients
Nyumc Radiology Associates Past Accepting new patients

Locations

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

6711 164th St
Fresh Meadows, NY 11365
Phone (718) 762-4500

1111 Franklin Ave
Garden City, NY 11530
Phone (516) 222-8600

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

222 Station Plz N
Mineola, NY 11501
Phone (516) 663-1111

222 Station Rd
Ste 310
Mineola, NY 11501
Phone (516) 663-2051

626 Rxr Plz
Uniondale, NY 11556
Phone (516) 280-9030

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jkim352401@nyumc.direct-ci.com

Organizations & group practices 9

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1093371486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 STATION PLZ N STE 310",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013893",
            "telephone_number": "516-663-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 STATION PLZ N STE 310",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013893",
            "telephone_number": "516-663-2051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180-36 80th Drive",
            "address_purpose": "LOCATION",
            "city": "Jamaica Estates",
            "state": "NY",
            "postal_code": "11432",
            "country_code": "US",
            "telephone_number": "347-277-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JU HYE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-12",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkim352401@nyumc.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "222 Station Plz N",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115013800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.