Jae Won Kim, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

007546 Issued in NY

Practice address

265 Post Ave Ste 280
Westbury, NY 11590-2235

Phone

(516) 500-8281

NPI assigned

Jun 14, 2024

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1346083789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 POST AVE STE 280",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902235",
            "telephone_number": "516-500-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 POST AVE STE 280",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902235",
            "telephone_number": "516-500-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAE WON",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-14",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamael Kiani
• Kids First Evaluation and Advocacy Center
• Kidz Educational Services SLP, OT, PT, LMSW, Psychology, Audiology, PL
• Fredrick Kiesecker, DC, CCN
• Stephanie R Killeen, M.D.
• Jung David Kim, RN
• Kimberley Wiemann Nutrition LLC
• Susan Elizabeth Kimmel, DVM DIPL ACVIM (SAIM
• Rachel King
• Mandy Klarman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.