Yu Seon Kim

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

349443 Issued in NY

Practice address

11 Franklin PL
Woodmere, NY 11598-1216

Phone

(516) 341-0151

NPI assigned

May 12, 2022

Last updated

May 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fulton Medical, P.C.

  • Internal Medicine Physician
  • Massapequa, NY
  • NPI 1841635133

  Single Specialty

  Medicare reassignment NPD
• Sheryl a Pearl MD PC

  • Family Medicine Physician
  • Woodmere, NY
  • NPI 1003983321

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1750027603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981216",
            "telephone_number": "516-341-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YU SEON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Beth Kaynan, M.A., CCC/SLP
• Stacy Kelly
• Talya Meira Keschner
• Kesser Therapy LLC
• Alla Kesser
• Sarah Elizabeth King
• Joan V. Kinnier, LCSW
• Tona Kirk
• Renee Klapholz, MS, CCC, SLP
• Sharon B Klein, SLP

• Family Nurse Practitioner in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.