Active NPI
Sooyeon Gim, DC
- Chiropractor
- Bayside, NY
National Provider Identifier
1669848750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 70 012702
- Practice address
- 20019 46TH Ave
Bayside, NY 11361-3018 - Phone
- (347) 653-2497
- NPI assigned
- Aug 12, 2015
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 70 012702 | NY | Primary |
| Acupuncturist | 171100000X | 006634 | NY |
Addresses
Primary practice location
20019 46TH Ave
Bayside, NY 11361-3018
Mailing address
20019 46TH Ave
Bayside, NY 11361-3018
Phone (347) 653-2497
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
| License | State | Type | Specialty |
|---|---|---|---|
| 70 012702 | NY | MD | Chiropractor |
| 006634 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Apple Acupuncture PC | Acupuncturist | Current | Accepting new patients |
| Soho Chiropractic PC | Chiropractor | Current | Accepting new patients |
| Sense Physical Therapy PC | Past | Accepting new patients | |
| Woo Physical Therapy PC | Past | Accepting new patients |
Locations
33 W 46th St
Ste 801
New York, NY 10036
Phone (212) 302-2692
147 W 25th St
Fl 7
New York, NY 10001
Phone (212) 206-1603
Organizations & group practices 4
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
- New York, NY
- NPI 1417783010
-
- Chiropractor
- New York, NY
- NPI 1205651650
-
- Physical Therapy Clinic/Center
- Flushing, NY
- NPI 1043604028
-
- Physical Therapist
- Bethpage, NY
- NPI 1144945759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1669848750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20019 46TH AVE",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113613018",
"telephone_number": "347-653-2497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20019 46TH AVE",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113613018",
"telephone_number": "347-653-2497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIM",
"first_name": "SOOYEON",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-12",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "70 012702",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "006634",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.