MS. JIYON KIM (NPI# 1104101591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104101591 |
| Entity Type | Individual |
| Full Name | MS. JIYON KIM |
| Practice Address |
1991 Marcus Ave Suite 104 New Hyde Park NY 11042-2057 |
| Practice Telephone | 5163581808 |
| Practice Fax Number | 6467549854 |
| Mailing Telephone | 5163581808 |
| Mailing Fax Number | 6467549854 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2017-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
021316 | NY | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942388061 | Jiyon Jennifer Kim | Physician Assistant | 727 Broadway, Suite B4, Massapequa, NY 11758 | 2006-11-02 |
| 1124104856 | Jiyon Kim | Dentist | 344 Morris Ave S, Renton, WA 98057-2521 | 2006-10-27 |
| Street Address |
1991 MARCUS AVE SUITE 104 |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081813 | John Rizzo | Internal Medicine | 1991 Marcus Ave, Suite 101, New Hyde Park, NY 11042-2058 | 2005-05-23 |
| 1023621240 | Nina Skaria | Pediatrics | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2020-08-27 |
| 1407491772 | Kimberly Andreacchio | Dietitian, Registered | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2019-11-11 |
| 1407350721 | Jennifer Evans Malheiros | Nurse Practitioner | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2018-03-21 |
| 1336662329 | Bessie Thomas | Optometrist | 1991 Marcus Ave, 2nd Floor, New Hyde Park, NY 11042 | 2017-07-21 |
| 1134665193 | Nhpe, LLC | Clinic/Center | 1991 Marcus Ave, Suite M202, New Hyde Park, NY 11042-2057 | 2017-01-16 |
| 1225482573 | Samera Ahmed | Occupational Therapist | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2016-04-22 |
| 1043676471 | Jessica Marie Mennella | Nurse Practitioner | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2016-01-14 |
| 1710342092 | Kristine R Pascuma | Registered Nurse | 1991 Marcus Ave, Suite M 100, New Hyde Park, NY 11042-2057 | 2015-12-30 |
| 1912362260 | Northwell Dermatology | Dermatology | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2015-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972868586 | Cecily Portillo | Psychologist | 2001 Marcus Ave Ste E128, New Hyde Park, NY 11042-1000 | 2012-07-10 |
| 1003038209 | Aaron David Drucker | Psychologist | 1981 Marcus Ave Ste C119, New Hyde Park, NY 11042-1038 | 2007-05-03 |
| 1982822003 | Michael Anthony O'loughlin | Psychologist | 15 Laurel Dr, New Hyde Park, NY 11040-2148 | 2007-04-23 |
| 1831253954 | Bernice Mednick Reinharth | Psychologist | Select Physicians PC, 410 Lakeville Rd., New Hyde Park, NY 11041-0001 | 2006-12-21 |
| 1629138896 | Faye Ruth Margolis | Psychologist | 7710 Hewlett Street, New Hyde Park, NY 11040-1461 | 2006-12-11 |
| 1629082896 | Anuja Gupta | Psychologist | 23 Dunhill Rd, New Hyde Park, NY 11040-2248 | 2006-07-27 |
| 1497750202 | George H Northrup | Psychologist | 7710 Hewlett St, New Hyde Park, NY 11040-1461 | 2005-06-17 |
| 1225639156 | Kelly Meyering | Psychologist | 2001 Marcus Ave Ste E128, New Hyde Park, NY 11042-1000 | 2020-11-06 |
| 1477071397 | Elizabeth Moses | Psychologist | 2001 Marcus Ave, New Hyde Park, NY 11042-2061 | 2017-08-30 |
| 1295182251 | Laura Pantaleo | Psychologist | 2001 Marcus Ave Ste E128, New Hyde Park, NY 11042-1000 | 2016-05-19 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
Please comment or provide details below to improve the information on MS. JIYON 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.