Individual provider Active NPI

Young Chul Kim

  • Acupuncturist
  • New York, NY
National Provider Identifier
1306502216
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
007111-01 Issued in NY
Practice address
230 E 48TH St # 1B
New York, NY 10017-1509
Phone
(347) 981-2286
NPI assigned
Nov 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 027109 NY
Acupuncturist 171100000X 007111-01 NY Primary

Addresses

Primary practice location

230 E 48TH St # 1B
New York, NY 10017-1509

Mailing address

6143B 223Rd PL
Oakland Gardens, NY 11364-2328
Phone (347) 981-2286

Other identifiers 2

IdentifierTypeStateIssuer
1144039306MedicaidNY
1144039306OtherNYNPI

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
007111-01NYMDAcupuncturist
027109NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Young Acupuncture & Massage P.C. Acupuncturist CurrentSince Jan 5, 2025 Accepting new patients
Eastern Healthcare Chiropractic and Acupuncture Services PLLC PastSince Jan 12, 2025 Accepting new patients

Locations

230 E 48th St
Apt 1B
New York, NY 10017
Phone (212) 755-4343

Organizations & group practices 2

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": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741996800000",
    "number": "1306502216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6143B 223RD PL",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642328",
            "telephone_number": "347-981-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E 48TH ST # 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171509",
            "telephone_number": "347-981-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG CHUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-15",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "027109",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007111-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144039306",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144039306",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; 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.