NPIMap

Organization Active NPI

Yom & Kim, LLC.

Doing business as Yom's Pain Clinic

  • Nutrition Chiropractor
  • Astoria, NY
National Provider Identifier
1528175221
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
X009398 Issued in NY
Legal business name
YOM & KIM, LLC.
Doing business as
Yom's Pain Clinic
Practice address
4301 Broadway
Astoria, NY 11103-2359
Phone
(718) 888-1641
Fax
(718) 888-2514
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Mr. Dohyung Kim, PTNPI 1912978982
Title
President
Phone
(718) 888-1641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN1001X X009398 NY Primary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 001213 NY
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 003103 NY
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 019722 NY
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 024040 NY

Addresses

Primary practice location

4301 Broadway
Astoria, NY 11103-2359

Mailing address

15301 Northern Blvd.
Ste. 2G
Flushing, NY 11354-5038
Phone (718) 888-1641

Other identifiers 2

IdentifierTypeStateIssuer
02588576MedicaidNY
02590958MedicaidNY

Other names 1

  • Yom's Pain Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1528175221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15301 NORTHERN BLVD.",
            "address_2": "STE. 2G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545038",
            "telephone_number": "718-888-1641",
            "fax_number": "718-888-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111032359",
            "telephone_number": "718-888-1641",
            "fax_number": "718-888-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOM & KIM, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DOHYUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-888-1641",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "X009398",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001213",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003103",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "019722",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "024040",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02588576",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02590958",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yom's Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.