Organization Active NPI

Christine Kim Acupuncture, PLLC

  • Acupuncturist
  • Ronkonkoma, NY
National Provider Identifier
1881429017
Registry record updated Dec 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
CHRISTINE KIM ACUPUNCTURE, PLLC
Practice address
4155 Veterans Memorial Hwy Ste 5
Ronkonkoma, NY 11779-6063
Phone
(516) 205-6627
NPI assigned
Sep 6, 2024
Last updated
Dec 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2024

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

Authorized official

Name
Christine Kim, LACNPI 1457938565
Title
Acupuncturist/ Owner
Phone
(516) 205-6627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

4155 Veterans Memorial Hwy Ste 5
Ronkonkoma, NY 11779-6063

Mailing address

1993 Henry St
North Bellmore, NY 11710-3215
Phone (516) 205-6627

National Provider Directory

National Provider Directory

Locations

239 Boyle Rd
Selden, NY 11784
Phone (516) 736-1311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734825600000",
    "number": "1881429017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1993 HENRY ST",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117103215",
            "telephone_number": "516-205-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 VETERANS MEMORIAL HWY STE 5",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796063",
            "telephone_number": "516-205-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE KIM ACUPUNCTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "ACUPUNCTURIST/ OWNER",
        "authorized_official_telephone_number": "516-205-6627",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.