JAKE KIM (NPI# 1245774355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245774355 |
| Entity Type | Individual |
| Full Name | JAKE KIM |
| Credential | NP |
| Practice Address |
1468 Madison Avenue Box 1495 New York NY 10029-6574 |
| Mailing Address |
1 Gustave L. Levy Place New York NY 10029-6574 |
| Practice Telephone | 2122416500 |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2017-03-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F340534 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154636603 | Jake T Kim | Social Worker | 7320 216th St Sw, Suite 200, Edmonds, WA 98026-8006 | 2010-08-09 |
| Street Address |
1468 MADISON AVENUE BOX 1495 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-6574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902838030 | Eva A Waite | Internal Medicine | 1468 Madison Avenue, New York, NY 10029 | 2006-07-07 |
| 1679003255 | Msc Oral Surgery PC | Dentist | 1468 Madison Avenue, Annenberg Building 2nd Floor, New York, NY 10029 | 2017-06-15 |
| 1255878427 | Hany Youssef | Physician Assistant | 1468 Madison Avenue, Department of General Surgery, New York, NY 10029 | 2017-01-26 |
| 1730567538 | John David Paulsen Jr. | Pathology | 1468 Madison Avenue, Annenberg Suite 15-38a, New York, NY 10029-6574 | 2015-05-12 |
| 1275974594 | Danielle Faershtein | Nurse Practitioner | 1468 Madison Avenue, 3rd Floor, New York, NY 10029-6574 | 2013-07-15 |
| 1710229505 | Laura Katherine Stein | Psychiatry & Neurology | 1468 Madison Avenue, Annenberg Building, 2nd Floor, New York, NY 10029 | 2013-03-20 |
| 1962786582 | Andrea Yuzuk | Physician Assistant | 1468 Madison Avenue, New York, NY 10029-6508 | 2011-09-30 |
| 1144547787 | Elaine Patricia Lin | Pediatrics | 1468 Madison Avenue, 4th Floor, New York, NY 10029-6574 | 2010-04-21 |
| 1396905188 | Matthew Clark | Dentist | 1468 Madison Avenue, Annenberg Building 2nd Floor, New York, NY 10029 | 2008-06-15 |
| 1083798300 | Jill Posa | Occupational Therapist | 1468 Madison Avenue, New York, NY 10029 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
| Find all providers in zip 10029 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726540 | Alison Anne Avallone | Nurse Practitioner | 425 E 80th St Apt 6d, New York, NY 10075-0613 | 2020-10-08 |
| 1194331199 | Katie Ann Felter | Nurse Practitioner | 144 E 36th St Apt 8b, New York, NY 10016-3517 | 2020-09-16 |
| 1407462492 | Alexandra Moench | Nurse Practitioner | 225 W 23rd St Apt 5s, New York, NY 10011-2300 | 2020-09-16 |
| 1770193237 | Lenka Varekova | Nurse Practitioner | 242 E 5th St Apt 3, New York, NY 10003-8501 | 2020-08-08 |
| 1184234817 | Hyun Gyeong Im | Nurse Practitioner | 435 W 46th St Apt 2re, New York, NY 10036-9085 | 2020-08-06 |
| 1942822507 | Busime Mimy Mudekereza | Nurse Practitioner | 1885 Adam Clayton Powell Jr Blvd Apt 2c, New York, NY 10026-2892 | 2020-05-17 |
| 1366061376 | Christine Go Np In Family Health PC | Nurse Practitioner | 315 Madison Ave Ste 1200, New York, NY 10017-5441 | 2020-04-09 |
| 1427687151 | Ken Chuan Michael Chan | Nurse Practitioner | 110 Madison Ave Apt 10, New York, NY 10016-7486 | 2020-04-04 |
| 1528695004 | Marylee Ann Marre | Nurse Practitioner | 226 E 25th St Apt 3d, New York, NY 10010 | 2020-03-25 |
| 1013541275 | Albina Guzman | Nurse Practitioner | 226 5th Ave Fl 6, New York, NY 10001-7706 | 2020-02-26 |
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| 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.