Individual provider Active NPI

Ju D. Kim

  • Acupuncturist
  • New York, NY
National Provider Identifier
1649953159
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
00720101 Issued in NY
Practice address
16 W 32ND St Ste 1001
New York, NY 10001-3852
Phone
(212) 239-2229
NPI assigned
Aug 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 00720101 NY Primary

Addresses

Primary practice location

16 W 32ND St Ste 1001
New York, NY 10001-3852

Mailing address

38 W 32ND St Ste 1007
New York, NY 10001-3880

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
00720101NYMDAcupuncturist
007201-01NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ju Kim Acupuncture PC Acupuncturist Current Accepting new patients
Seoul Healing & Herbs Inc Acupuncturist Current Accepting new patients

Locations

16 W 32nd St
Ste 1001
New York, NY 10001
Phone (212) 239-5559

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1649953159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 W 32ND ST STE 1007",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 W 32ND ST STE 1001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013852",
            "telephone_number": "212-239-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JU",
        "middle_name": "D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "00720101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.