JINA KIM (NPI# 1023468832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023468832 |
| Entity Type | Individual |
| Full Name | JINA KIM |
| Credential | FNP |
| Practice Address |
130 Rose Ave Staten Island NY 10306-2241 |
| Practice Telephone | 7183093281 |
| Mailing Telephone | 7183093281 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
340441 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508706 | Jina Kyoung-jin Kim | Pharmacist | 1100 Us Highway 96 N, Silsbee, TX 77656-7298 | 2020-11-06 |
| 1568081271 | Jina Kim | Student in an Organized Health Care Education/Training Program | 1775 Grand Concourse Fl 6, Bronx, NY 10453-8202 | 2020-04-13 |
| 1073087268 | Jina Kim | Pharmacist | 212 E Madison Ave, Cresskill, NJ 07626-2229 | 2019-01-22 |
| 1316469257 | Jina Kim | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-07-12 |
| 1851756159 | Jina Kyu Jin Kim | Registered Nurse | 1600 E Olive St, Seattle, WA 98122-2735 | 2015-12-31 |
| 1629478169 | Jina Kim | Chiropractor | 5675 Rising Sun Ave, Suite 14, Philadelphia, PA 19120-2100 | 2014-09-03 |
| 1194081117 | Jina Kim | Surgery | 3300 Gallows Rd, Falls Church, VA 22042-3300 | 2012-04-03 |
| 1386925113 | Jina Ann Kim | Pharmacist | 2125 Broadway, Long Island City, NY 11106-4532 | 2011-09-07 |
| 1114155702 | Jina Y. Kim | Family Medicine | 3610 Peachtree Industrial Blvd, Suite 100, Duluth, GA 30096-4843 | 2009-06-23 |
| 1417136490 | Jina E Kim | Nurse Anesthetist, Certified Registered | 1 Gustave L Levy Pl, Anesthesiology - Box 1010, New York, NY 10029-6500 | 2007-10-26 |
| Street Address |
130 ROSE AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10306-2241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093827487 | Jerrard P Varrone | Nurse Practitioner | 130 Rose Ave, Staten Island, NY 10306-2241 | 2006-08-31 |
| 1124668751 | Lara M Tregillies | Nurse Practitioner | 130 Rose Ave, Staten Island, NY 10306-2241 | 2020-01-11 |
| 1003214628 | Genevieve Spota | Nurse Practitioner | 130 Rose Ave, Staten Island, NY 10306-2241 | 2014-12-13 |
| 1679849426 | Frank Akiva | Nurse Practitioner | 130 Rose Ave, Staten Island, NY 10306-2241 | 2012-03-27 |
| 1346538055 | Michele Cillo | Nursing Care | 130 Rose Ave, Staten Island, NY 10306-2241 | 2011-07-14 |
| 1033402771 | Cecilia Scharschmidt | Nurse Practitioner | 130 Rose Ave, Staten Island, NY 10306-2241 | 2011-05-26 |
| 1235438490 | Kashan Singh | Nurse Practitioner | 130 Rose Ave, Staten Island, NY 10306-2241 | 2011-03-26 |
| 1104120880 | Simone A Charity | Nurse Practitioner | 130 Rose Ave, Staten Island, NY 10306-2241 | 2011-01-10 |
| 1740593045 | Eunice H Woo | Nurse Practitioner | 130 Rose Ave, Staten Island, NY 10306-2241 | 2010-07-15 |
| 1043544943 | Maria Elena Mctaggart | General Acute Care Hospital | 130 Rose Ave, Staten Island, NY 10306-2241 | 2009-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737372 | Nancy Burns | Counselor | 345 Guyon Ave # 14, Staten Island, NY 10306 | 2020-07-14 |
| 1710537642 | Happy Island Senior Center LLC | Clinic/Center | 555 Greeley Ave, Staten Island, NY 10306 | 2019-09-12 |
| 1215580055 | Keann Pender | Counselor | 345 Guyon Ave Rm 14, Staten Island, NY 10306 | 2019-07-22 |
| 1346751435 | Amanda Nicole Lewis | Speech-Language Pathologist | 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 | 2017-10-17 |
| 1649793142 | Olympia Services Inc | Radiology | 1913 Olympia Blvd., Staten Island, NY 10306 | 2017-07-18 |
| 1265961601 | A & S Educational Technology Inc. | Early Intervention Provider Agency | 99 Sydney Pl, Staten Island, NY 10306 | 2017-06-08 |
| 1124489638 | Prospect Kids, LLC | Early Intervention Provider Agency | 21 Kayla Court, Staten Island, NY 10306 | 2016-03-10 |
| 1124498407 | Tatyana Kateva | Registered Nurse | 1975 Hylan Blvd Suite 1, Staten Island, NY 10306 | 2015-09-30 |
| 1336536275 | Natallia Verbitsky | Occupational Therapist | 165 Twombly Ave, Staten Island, NY 10306 | 2015-04-17 |
| 1922491745 | Evan Ross Cohen | Dentist | 1975 Hylan Blvd., Unit #2, Hylan Dental Arts, Staten Island, NY 10306 | 2015-03-18 |
| Find all providers in zip 10306 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1215540638 | Shanna Hinckson | Nurse Practitioner | 53 Tillman St, Staten Island, NY 10314-5680 | 2020-08-25 |
| 1104438548 | Amanda Power | Nurse Practitioner | 64 Lovell Ave, Staten Island, NY 10314-4969 | 2020-08-18 |
| 1497367817 | Darya Olekhnovich | Nurse Practitioner | 25 Navesink Pl, Staten Island, NY 10306-5622 | 2020-08-18 |
| 1194335372 | Kimberly Sage | Nurse Practitioner | 36 Carly Ct, Staten Island, NY 10309-2735 | 2020-08-03 |
| 1932718855 | Christine Louise Lutrario | Nurse Practitioner | 293 Edinboro Rd, Staten Island, NY 10306-1204 | 2020-07-27 |
| 1447877592 | Mirena Khaimova | Nurse Practitioner | 302 Getz Ave, Staten Island, NY 10312-2433 | 2020-07-05 |
| 1063039220 | Hima Girish | Nurse Practitioner | 64 Galloway Ave, Staten Island, NY 10302-2528 | 2020-07-02 |
| 1245854314 | Desiree Joy Ambrosio | Nurse Practitioner | 45 Burnside Ave, Staten Island, NY 10302-2302 | 2020-06-03 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10306 |
Please comment or provide details below to improve the information on JINA KIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.