Active NPI
Lydia Kim, L.AC.
- Acupuncturist
- Roslyn Heights, NY
National Provider Identifier
1619610672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 007035-01
- Practice address
- 216 Willis Ave. Suite 001
Roslyn Heights, NY 11577-2125 - Phone
- (917) 747-4601
- NPI assigned
- Apr 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anaplastologist | 229N00000X | 007035-01 | NY | |
| Acupuncturist | 171100000X | 007035-01 | NY | Primary |
Addresses
Primary practice location
216 Willis Ave. Suite 001
Roslyn Heights, NY 11577-2125
Mailing address
5311 Francis Lewis Blvd
Oakland Gardens, NY 11364-1632
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 |
|---|---|---|---|
| 007035-01 | NY | MD | Anaplastologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ju Hua Acupuncture PC | Acupuncturist | Current | Accepting new patients |
Locations
216 Willis Ave
Ste 1
Roslyn Hts, NY 11577
Phone (516) 399-2501
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
- Roslyn Heights, NY
- NPI 1720979271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1619610672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5311 FRANCIS LEWIS BLVD",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113641632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 WILLIS AVE. SUITE 001",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115772125",
"telephone_number": "917-747-4601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "LYDIA",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-18",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "229N00000X",
"taxonomy_group": "",
"desc": "Anaplastologist",
"state": "NY",
"license": "007035-01",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "007035-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.