Jung Tak Kim

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006405 Issued in NY

Practice address

4124 161St St Apt 2A2
Flushing, NY 11358-4137

Phone

(646) 353-7260

NPI assigned

Sep 17, 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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sonic Rehab PT PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1013573914
  NPD

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1114697307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 161ST ST APT 2A2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113584137",
            "telephone_number": "646-353-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 161ST ST APT 2A2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113584137",
            "telephone_number": "646-353-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUNG",
        "middle_name": "TAK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joonhyuk Kim, MD
• Joshua Seokju Kim
• Juhan Kim, DDS
• Julia Kim, LMSW
• Jung Houn Kim, MD
• Junhyung Nicolas Kim, NP
• Junsook Kim
• Ka Yeun Kim, PHARMD
• Kak Rae Kim, M.D.
• Kaye Y Kim, R.PH

• Acupuncturist in Flushing, NY
• Providers in Flushing, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.