Active NPI
Seungsu Kim
- Physical Therapist
- Jamaica, NY
National Provider Identifier
1982468070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 049734
- Practice address
- 9033 Sutphin Blvd
Jamaica, NY 11435-3631 - Phone
- (929) 343-5412
- NPI assigned
- Feb 8, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 049734 | NY | Primary |
Addresses
Primary practice location
9033 Sutphin Blvd
Jamaica, NY 11435-3631
Mailing address
4510 156TH St
Flushing, NY 11355-1721
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 |
|---|---|---|---|
| 049734 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1982468070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 156TH ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113551721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9033 SUTPHIN BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114353631",
"telephone_number": "929-343-5412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SEUNGSU",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-08",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "049734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.