Junhyung Nicolas Kim, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

346877-01 Issued in NY

Practice address

3825 Parsons Blvd Ste 1G
Flushing, NY 11354-5839

Phone

(718) 353-4100

NPI assigned

Jan 26, 2021

Sex

Male

Sole proprietor

No

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1114517885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MILLER BLVD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913510",
            "telephone_number": "516-708-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 PARSONS BLVD STE 1G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545839",
            "telephone_number": "718-353-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUNHYUNG",
        "middle_name": "NICOLAS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346877-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Seokju Kim
• Juhan Kim, DDS
• Julia Kim, LMSW
• Jung Houn Kim, MD
• Jung Tak Kim
• Junsook Kim
• Ka Yeun Kim, PHARMD
• Kak Rae Kim, M.D.
• Kaye Y Kim, R.PH
• Kee Young Kim, MD

• Family Nurse Practitioner in Flushing, NY
• Providers in Flushing, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.