Jennifer S Kim

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

37 Brompton Rd Apt 1E
Great Neck, NY 11021-3466

Phone

(516) 765-5343

NPI assigned

Jun 30, 2021

Last updated

Jun 30, 2021By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1437729480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BROMPTON RD APT 1E",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213466",
            "telephone_number": "516-765-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BROMPTON RD APT 1E",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213466",
            "telephone_number": "516-765-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidscare Speech Therapy, LLC
• Kidz Kare of Great Neck LLP
• Savannah Kile, MS
• Hyunchung Kim, PHARMACIST
• Hyunjong Kim, DPT
• Jennifer Victoria Kim, FNP-BC
• Joann Kim, OTR/L
• Kyung Hyun Kim, DDS
• Nancy Kim, MA, PT
• Sungsoo Kim, MD

• Behavior Analyst in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.