Active NPI
Chong Min Kim, LAC
- Acupuncturist
- Bayside, NY
National Provider Identifier
1730630617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 001983-1
- Practice address
- 20615 Lori Dr
#2
Bayside, NY 11360-1165 - Phone
- (718) 358-0999
- NPI assigned
- Oct 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 001983-1 | NY | Primary |
Addresses
Primary practice location
20615 Lori Dr
#2
Bayside, NY 11360-1165
Mailing address
20615 Lori Dr
#2
Bayside, NY 11360-1165
Phone (718) 358-0999
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476662400000",
"number": "1730630617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20615 LORI DR",
"address_2": "#2",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113601165",
"telephone_number": "718-358-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20615 LORI DR",
"address_2": "#2",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113601165",
"telephone_number": "718-358-0999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CHONG MIN",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-17",
"last_updated": "2016-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "001983-1",
"primary": true
}
],
"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 Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.