MR. JAESUNG KIM (NPI# 1720462674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720462674 |
| Entity Type | Individual |
| Full Name | MR. JAESUNG KIM |
| Practice Address |
212-15 35th Ave Bayside NY 11361 |
| Mailing Address |
3618 193rd St Fl 2 Flushing NY 11358-2444 |
| Practice Telephone | 9178192956 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2019-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 005143 | NY | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21215 35th Ave, Bayside, NY 113611516 | 3473351928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598313918 | Jaesung Kim | Dentist | 3776 Mission Ave Ste 138, Oceanside, CA 92058-1459 | 2019-08-28 |
| 1962834796 | Jaesung Kim | Psychiatry & Neurology | 505 Ne 87th Ave Ste 460, Vancouver, WA 98664-1965 | 2013-08-02 |
| Street Address |
212-15 35TH AVE |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467078055 | Nicole E. Sarracco | Speech-Language Pathologist | 215 - 46 39th Avenue, Flushing, NY 11361 | 2020-06-19 |
| 1689294381 | Terri Robin Will | Registered Nurse | 3416 2019th Street, Queens, NY 11361 | 2020-04-22 |
| 1295364875 | Melanie Besthoff | Speech-Language Pathologist | 215-46 39th Avenue, Flushing, NY 11361 | 2020-04-05 |
| 1790339844 | Alana Valle | Occupational Therapist | 20947 34th Rd, Bayside, NY 11361 | 2019-07-26 |
| 1881175826 | Eva Mui | Pharmacist | 212 Northern Blvd, Bayside, NY 11361 | 2018-08-28 |
| 1063908531 | Hongik Acupuncture N.y. P.C. | Acupuncturist | 21441 42nd Ave Ste 4c, Bayside, NY 11361 | 2018-07-07 |
| 1093233694 | Karen Trentacosta | Registered Nurse | 40-04a Bell Boulevard, Bayside, NY 11361 | 2017-09-03 |
| 1801310131 | Hee Gi An | Dentist | 42-05 204th St, Flr 2, Bayside, NY 11361 | 2017-07-28 |
| 1780113050 | Miaoying Zhu | Social Worker | 217-63 Corbett Rd, Bayside, NY 11361 | 2017-06-08 |
| 1679016265 | Daniela Ragusa | Speech-Language Pathologist | 221-21 Corbett Road, Bayside, NY 11361 | 2016-11-30 |
| Find all providers in zip 11361 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341107 | Yy Wellcare Acupuncture P.c | Acupuncturist | 3504 208th St, Bayside, NY 11361-1330 | 2020-06-25 |
| 1508404492 | Chan Jin Park | Acupuncturist | 21537 48th Ave Apt 2b, Bayside, NY 11364-1359 | 2019-12-11 |
| 1235770744 | Pyung Gang Cho | Acupuncturist | 20935 Northern Blvd Unit 215, Bayside, NY 11361-3134 | 2019-10-05 |
| 1720642689 | Kang Tae Lee | Acupuncturist | 5732 226th St Fl 1, Bayside, NY 11364-2045 | 2019-04-25 |
| 1013482629 | Ji Hong Lim | Acupuncturist | 1589 208th Pl Fl 2, Bayside, NY 11360-1121 | 2018-10-10 |
| 1780166520 | Keun Ae Park | Acupuncturist | 21406 18th Ave, Bayside, NY 11360-1636 | 2018-08-29 |
| 1942782701 | Aca Acupuncture Bayside P.C. | Acupuncturist | 200-14 44th Ave, 2nd Floor, Bayside, NY 11361-2510 | 2018-08-29 |
| 1528546785 | Michiko Yoshifuji | Acupuncturist | 20560 Brian Cres Fl 3, Bayside, NY 11360-1142 | 2018-07-31 |
| 1063908531 | Hongik Acupuncture N.y. P.C. | Acupuncturist | 21441 42nd Ave Ste 4c, Bayside, NY 11361 | 2018-07-07 |
| 1093228892 | Symmetry Acupuncture, P.C. | Acupuncturist | 21519 39th Ave # C, Bayside, NY 11361-2114 | 2017-11-15 |
| Find all providers in BAYSIDE | ||||
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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.