Active NPI
Kyung Hee Kim, L.AC
- Acupuncturist
- Bayside, NY
National Provider Identifier
1164804696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- NY005475
- Practice address
- 20014 44TH Ave
2FL
Bayside, NY 11361-2510 - Phone
- (718) 279-2900
- Fax
- (718) 279-7958
- NPI assigned
- Jun 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | NY005475 | NY | Primary |
Addresses
Primary practice location
20014 44TH Ave
2FL
Bayside, NY 11361-2510
Mailing address
20014 44TH Ave
2FL
Bayside, NY 11361-2510
Phone (718) 279-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NY005475 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434844800000",
"number": "1164804696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20014 44TH AVE",
"address_2": "2FL",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612510",
"telephone_number": "718-279-2900",
"fax_number": "718-279-7958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20014 44TH AVE",
"address_2": "2FL",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612510",
"telephone_number": "718-279-2900",
"fax_number": "718-279-7958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KYUNG HEE",
"name_prefix": "Ms.",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-21",
"last_updated": "2015-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "NY005475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.