Sunim Oh

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

F04190578 Issued in NY

Practice address

3130 Grand Concourse # 11N
Bronx, NY 10458-1213

Phone

(917) 724-1669

NPI assigned

Jun 17, 2019

Reactivated

Oct 19, 2022

Sex

Female

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": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1417517111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 S BETHLEHEM PIKE APT H14",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 GRAND CONCOURSE # 11N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581213",
            "telephone_number": "917-724-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "SUNIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "deactivation_date": "2019-06-17",
        "reactivation_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F04190578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Oh, M.D.
• Seok Yoon Oh, MD
• Seung Mi Oh, MD
• Soon Jee Oh
• Sun Young Oh, M.D.
• Emelda Chika Ohajianya, RN
• Charles Ohakam, LPN
• Arman Ohanyan
• Leonard Ohene Takyi
• Ihiechi Ohia-Enyia, DO

• Primary Care Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.