Organization Active NPI

Sun Ki Center Inc

  • Physical Therapist
  • Flushing, NY
National Provider Identifier
1548580145
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Jun 4, 2010

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

Authorized official

Name
Ms. Kisuk Yom, P.T.NPI 1386840932
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
03103959MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Sun Ki Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.