Individual provider Active NPI

Sung Hee Kam

  • Family Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1447674312
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F338202 Issued in NY
Practice address
15301 Northern Blvd Ste 2F
Flushing, NY 11354-5038
Phone
(929) 460-4860
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F338202 NY Primary

Addresses

Primary practice location

15301 Northern Blvd Ste 2F
Flushing, NY 11354-5038

Mailing address

15301 Northern Blvd Ste 2F
Flushing, NY 11354-5038
Phone (929) 460-4860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140514000396 NY Practitioner - Nurse Practitioner 9931322260 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F338202NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Green Family Health NP PC Family CurrentSince Sep 30, 2025 Accepting new patients

Locations

15301 Northern Blvd
Ste 2F
Flushing, NY 11354
Phone (929) 460-4860

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GACAED/Endpoint/GACAED

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1447674312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15301 NORTHERN BLVD STE 2F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545038",
            "telephone_number": "929-460-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 NORTHERN BLVD STE 2F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545038",
            "telephone_number": "929-460-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAM",
        "first_name": "SUNG HEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.