Joon Lae Kim, LIC.A

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

002227-1 Issued in NY

Practice address

14327A Roosevelt Ave # Wki
Flushing, NY 11354-6139

Phone

(718) 939-1276

Fax

(718) 939-1277

NPI assigned

Apr 14, 2007

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Samo Acupuncture P.C.

  • Acupuncturist
  • Hicksville, NY
  • NPI 1922854116
  NPD Authorized official
• Helping Hands PT & Rehab Care, P.C.

  • Physical Therapist
  • Flushing, NY
  • NPI 1356539704
  NPD (past)

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346465507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542330",
            "telephone_number": "718-986-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14327A ROOSEVELT AVE # WKI",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546139",
            "telephone_number": "718-939-1276",
            "fax_number": "718-939-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOON LAE",
        "credential": "LIC.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002227-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jong Hoon Kim, FNP
• Jong Sin Kim
• Jong Wook Kim, DDS
• Jong-Min Jonathon Kim, PHARMD
• Jongho Kim, DMD LAC PHD
• Joonhyuk Kim, MD
• Joshua Seokju Kim
• Juhan Kim, DDS
• Julia Kim, LMSW
• Jung Houn Kim, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.