Jae Hoon Kim, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X012685 Issued in NY

Practice address

10005 Roosevelt Ave
Suite 202
Corona, NY 11368-4880

Phone

(914) 439-2157

NPI assigned

Nov 6, 2015

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)

Enrolled

State licenses

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1265805683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14075 ASH AVE",
            "address_2": "#3F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10005 ROOSEVELT AVE",
            "address_2": "SUITE 202",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684880",
            "telephone_number": "914-439-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAE HOON",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Physical Therapy P. C.
• Dongeon Kim
• Han NA Kim, P.T.
• Helen Hyo Jung Kim, MD
• Hyon Chol Kim, LAC
• Julia Yeiun Kim, DDS
• Sook Kim, RPH
• Eli Joseph Kleinman, MD
• Galina Klyuzova, RN
• Seul Hee Ko

• Chiropractor in Corona, NY
• Providers in Corona, NY by specialty
• Chiropractor in New York

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

Verify at the official NPI Registry.