Active NPI
Jeong Sook Kim, LAC
- Acupuncturist
- New York, NY
National Provider Identifier
1740555168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 4773
- Practice address
- 38 W 32ND St # W
Suite 1300
New York, NY 10001-3816 - Phone
- (212) 760-7575
- Fax
- (212) 760-7574
- NPI assigned
- Mar 19, 2012
- 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 | 4773 | NY | Primary |
Addresses
Primary practice location
38 W 32ND St # W
Suite 1300
New York, NY 10001-3816
Mailing address
38W 32ND St
Suite 1300
New York, NY 10001
Phone (212) 760-7575
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 |
|---|---|---|---|
| 4773 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1740555168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38W 32ND ST",
"address_2": "SUITE 1300",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "212-760-7575",
"fax_number": "212-760-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 W 32ND ST # W",
"address_2": "SUITE 1300",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013816",
"telephone_number": "212-760-7575",
"fax_number": "212-760-7574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JEONG SOOK",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-19",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "4773",
"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 Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.