Organization Active NPI

James J. Kim, L.a.C., P.C.

  • Acupuncturist
  • Merrick, NY
National Provider Identifier
1386057446
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
2115 Issued in NY
Legal business name
JAMES J. KIM, L.A.C., P.C.
Practice address
310 Merrick Ave
Merrick, NY 11566-2718
Phone
(516) 379-3052
Fax
(516) 379-4632
NPI assigned
Jun 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Authorized official

Name
James J. Kim, L.AC.
Title
President
Phone
(516) 379-3052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 2115 NY Primary

Addresses

Primary practice location

310 Merrick Ave
Merrick, NY 11566-2718

Mailing address

310 Merrick Ave
Merrick, NY 11566-2718
Phone (516) 379-3052

National Provider Directory

National Provider Directory

Locations

1819 Merrick Ave
Merrick, NY 11566
Phone (516) 379-3052

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1386057446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662718",
            "telephone_number": "516-379-3052",
            "fax_number": "516-379-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662718",
            "telephone_number": "516-379-3052",
            "fax_number": "516-379-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J. KIM, L.A.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-379-3052",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "2115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.