Robert S. Kim Acupuncture Wellness Care P.C.

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

ROBERT S. KIM ACUPUNCTURE WELLNESS CARE P.C.

Practice address

275 Route 304
Bardonia, NY 10954-2049

Phone

(845) 826-4508

NPI assigned

Aug 20, 2024

Organization subpart

No

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

Authorized official

Name

Robert Seunguk Kim, L.AC.NPI 1568223329

Title

Owner

Phone

(917) 573-6180

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Seunguk Kim, L.AC.

  • Acupuncturist
  • Bardonia, NY
  • NPI 1568223329
  NPD Authorized official
• Roger A Russo, D.C.

  • Chiropractor
  • Congers, NY
  • NPI 1609946987
  NPD (past)

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1720811482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NORMANDY VLG",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109546900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 ROUTE 304",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109542049",
            "telephone_number": "845-826-4508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 N Route 303 Ste 2",
            "address_purpose": "LOCATION",
            "city": "Congers",
            "state": "NY",
            "postal_code": "109201425",
            "country_code": "US",
            "telephone_number": "845-268-5122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROBERT S. KIM ACUPUNCTURE WELLNESS CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SEUNGUK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-573-6180",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Porter-Cobbs, RPH
• Clovis Raymond, MD
• Frank Reemer, D.D.S., P.C
• Nancy M Rello, ATC/L
• Emily Griffin Ricci, M.S. CCC-SLP TSSLD
• Roderick James Rubi
• Jennifer Phyllis Rudin
• Staffy Sabu
• John Mina Samuel, PHARM.D.
• Schnapper Chiropractic PC

• All providers in Bardonia, NY
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.