Individual provider Active NPI

Horyong Kim

  • Acupuncturist
  • West Nyack, NY
National Provider Identifier
1235548058
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005319 Issued in NY
Practice address
719 W Nyack Rd Ste 25
West Nyack, NY 10994-2241
Phone
(845) 288-1914
NPI assigned
Aug 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 005319 NY Primary

Addresses

Primary practice location

719 W Nyack Rd Ste 25
West Nyack, NY 10994-2241

Mailing address

719 W Nyack Rd Ste 25
West Nyack, NY 10994-2241
Phone (845) 288-1914

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

LicenseStateTypeSpecialty
005319NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Symmetry Acupuncture, P.C. Acupuncturist CurrentSince Sep 10, 2023 Accepting new patients

Locations

719 W Nyack Rd
Ste 25
West Nyack, NY 10994
Phone (845) 288-1914

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1235548058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W NYACK RD STE 25",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942241",
            "telephone_number": "845-288-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W NYACK RD STE 25",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942241",
            "telephone_number": "845-288-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HORYONG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2023-09-06",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.