Jung Yoon Leah Kim, L.AC. MSTOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25003765 Issued in NY

Practice address

37 W 20TH St Ste 607
New York, NY 10011-3718

Phone

(646) 279-8836

NPI assigned

Mar 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. J. Leah Kim Professional name

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": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1437329265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W 20TH ST STE 607",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113718",
            "telephone_number": "646-279-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W 20TH ST STE 607",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113718",
            "telephone_number": "646-279-8836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "596 Broadway",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100123396",
            "country_code": "US",
            "telephone_number": "646-279-8836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUNG YOON",
        "middle_name": "LEAH",
        "name_prefix": "Ms.",
        "credential": "L.AC. MSTOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003765",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "25003765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J.",
            "last_name": "KIM",
            "middle_name": "LEAH",
            "prefix": "MS.",
            "credential": "L.AC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• June G Kim, LMSW
• Jung Kim, M.D.
• Jung H Kim, MD
• Jung Hyen Kim, DDS
• Jung Yeon Kim
• Jung-Hun Kim, DDS
• Jung-Min Kim, DDS
• Junghee Kim
• Jungwon Kim
• Jungwoo Kim, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.