DR. JAE KU KIM (NPI# 1861677569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861677569 |
| Entity Type | Individual |
| Full Name | DR. JAE KU KIM |
| Credential | D.C. |
| Practice Address |
2100 Flatbush Ave Brooklyn NY 11234-4314 |
| Practice Telephone | 7186773700 |
| Practice Fax Number | 7186771314 |
| Mailing Telephone | 7186773700 |
| Mailing Fax Number | 7186771314 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X011451-1 | NY | Chiropractic Providers |
| Street Address |
2100 FLATBUSH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205106192 | Ahmed K Ibrahim | Physical Therapist | 2100 Flatbush Ave, Brooklyn, NY 11234-4314 | 2012-01-09 |
| 1033494042 | Wan Rowena A Alhabsi | Specialist | 2100 Flatbush Ave, Brooklyn, NY 11234-4314 | 2011-10-21 |
| 1770871899 | Evercare Occupational Therapy LLC | Occupational Therapist | 2100 Flatbush Ave, Brooklyn, NY 11234-4314 | 2011-07-11 |
| 1184910804 | Paul Kutcher | Occupational Therapist | 2100 Flatbush Ave, Brooklyn, NY 11234-4314 | 2011-06-21 |
| 1255627063 | G A Physical Therapy P.C. | Physical Therapist | 2100 Flatbush Ave, Brooklyn, NY 11234-4314 | 2011-06-21 |
| 1891092482 | Rgfm Medical PC | Internal Medicine | 2100 Flatbush Ave, Brooklyn, NY 11234-4314 | 2011-02-17 |
| 1306143201 | Hasem A Hussein | Physical Therapist | 2100 Flatbush Ave, Brooklyn, NY 11234-4314 | 2011-02-12 |
| 1184929465 | Sushma Ramineni | Physical Therapist | 2100 Flatbush Ave, Brooklyn, NY 11234-4314 | 2011-01-19 |
| 1841594157 | Whole Life Chiropractic PC | Chiropractor | 2100 Flatbush Ave, Brooklyn, NY 11234-4314 | 2010-12-29 |
| 1932401171 | Grow Up Pt PC | Physical Therapist | 2100 Flatbush Ave, Brooklyn, NY 11234-4314 | 2010-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235740275 | Andrea Hope Levin | Chiropractor | 280 Beaumont St, Brooklyn, NY 11235-4121 | 2020-08-13 |
| 1861012718 | East Bright Chiropractic PC | Chiropractor | 823 56th St Fl 3, #312, Brooklyn, NY 11220-5186 | 2020-04-21 |
| 1114559309 | Jonathan Eisen Dc, PC | Chiropractor | 9207 Flatlands Ave, Brooklyn, NY 11236 | 2020-02-06 |
| 1447881420 | Jonathan Eisen Dc, PC | Chiropractor | 9207 Flatlands Ave Ste 1, Brooklyn, NY 11236-3721 | 2020-01-29 |
| 1508418591 | Jk Chiropractic, PC | Chiropractor | 513 Church Ave, Brooklyn, NY 11218-2409 | 2019-07-10 |
| 1003370891 | Christopher P Cox | Chiropractor | 715 Manhattan Avenue, Brooklyn, NY 11222-2989 | 2019-01-25 |
| 1972073153 | Fizza Saeed | Chiropractor | 153 Greenpoint Ave, Brooklyn, NY 11222 | 2018-11-29 |
| 1245700798 | Brian Eric Wolin | Chiropractor | 717 Church Ave, Brooklyn, NY 11218-3305 | 2018-11-27 |
| 1831667435 | Michael Dean Childs | Chiropractor | 3142 Marsh Rd, Brooklyn, MI 49230-9241 | 2018-11-13 |
| 1790260669 | Ardina Bacovic | Chiropractor | 1829 E 13th St Ste Cb, Brooklyn, NY 11229-2887 | 2018-09-26 |
| Find all providers in BROOKLYN | ||||
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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.