Active NPI
Christine Kim, LAC
- Acupuncturist
- Farmingdale, NY
National Provider Identifier
1457938565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 006913
- Practice address
- 2043 Wellwood Ave
Farmingdale, NY 11735-1215 - Phone
- (516) 205-6627
- NPI assigned
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 006913 | NY | Primary |
Addresses
Primary practice location
2043 Wellwood Ave
Farmingdale, NY 11735-1215
Mailing address
1993 Henry St
North Bellmore, NY 11710-3215
Phone (516) 205-6627
Other practice location 1
4155 Veterans Memorial Hwy Ste 5
Ronkonkoma, NY 11779-6063
Phone (516) 205-6627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006913 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christine Kim Acupuncture, PLLC | Acupuncturist | Current | Accepting new patients |
Locations
4155 Veterans Memorial Hwy
Ste 5
Ronkonkoma, NY 11779
Phone (516) 205-6627
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.
-
- Acupuncturist
- Ronkonkoma, NY
- NPI 1881429017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1457938565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1993 HENRY ST",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117103215",
"telephone_number": "516-205-6627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2043 WELLWOOD AVE",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117351215",
"telephone_number": "516-205-6627"
}
],
"practiceLocations": [
{
"address_1": "4155 Veterans Memorial Hwy Ste 5",
"address_purpose": "LOCATION",
"city": "Ronkonkoma",
"state": "NY",
"postal_code": "117796063",
"country_code": "US",
"telephone_number": "516-205-6627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "CHRISTINE",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2023-05-15",
"certification_date": "2023-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "006913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.