Active NPI
Sun Ki Center Inc
- Physical Therapist
- Flushing, NY
National Provider Identifier
1548580145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SUN KI CENTER INC
- Practice address
- 14351 Roosevelt Ave
Suite 1F
Flushing, NY 11354-6155 - Phone
- (718) 661-4130
- Fax
- (718) 661-4132
- NPI assigned
- Jun 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kisuk Yom, P.T.
- Title
- President
- Phone
- (718) 661-4130
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
14351 Roosevelt Ave
Suite 1F
Flushing, NY 11354-6155
Mailing address
14351 Roosevelt Ave.
Suite 1 F
Flushing, NY 11354
Phone (718) 661-4130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03103959 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Sun Ki Center Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Flushing, NY
- NPI 1659705408
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Flushing, NY
- NPI 1386840932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275609600000",
"number": "1548580145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14351 ROOSEVELT AVE.",
"address_2": "SUITE 1 F",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11354",
"telephone_number": "718-661-4130",
"fax_number": "718-661-4132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14351 ROOSEVELT AVE",
"address_2": "SUITE 1F",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113546155",
"telephone_number": "718-661-4130",
"fax_number": "718-661-4132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUN KI CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-04",
"last_updated": "2010-06-04",
"status": "A",
"authorized_official_last_name": "YOM",
"authorized_official_first_name": "KISUK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-661-4130",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03103959",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.